APRN MEDICAL LLC
NPI 1790282879
Clinic/Center - Health Service in Fayetteville, AR

Active since April 06, 2018
4253 N CROSSOVER RD, FAYETTEVILLE, AR 72703(479) 310-8197 Get Directions Write a Review

NPPES record last updated: April 6, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Aprn Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

APRN MEDICAL LLC (NPI 1790282879) is a healthcare organization registered as a health service in Fayetteville, Arkansas and active in the NPI registry since April 2018. The organization lists Tammie Michelle Smith, Provider, as its authorized official.

NPPES Registry Identity

NPI1790282879
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameAPRN MEDICAL LLC
Location Address4253 N CROSSOVER RDFayetteville, AR 72703-4593
Mailing Address11920 Davis Ford Rd.Springdale, AR 72764 · (479) 422-0008 · Fax (479) 419-9466
Organization SubpartNo
Authorized OfficialTammie Michelle SmithProvider · (479) 422-0008
Enumeration DateApril 6, 2018
✔ NPI 1790282879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
4253 N CROSSOVER RD, Fayetteville, AR 72703

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aprn Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Aprn Medical LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1063748101
VANTAGE POINT BEHAVIORAL HEALTH 4253 CROSSOVER ROAD
Fayetteville, AR 72703
(479) 310-8197
✔ PECOS✔ Accepts Medicare0.1 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1255546974
2580 E JOYCE BLVD STE 1
Fayetteville, AR 72703
(479) 305-7201
✔ PECOS✔ Accepts Medicare0.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aprn Medical LLC's NPI number?

The NPI number for Aprn Medical LLC is 1790282879. It was assigned to this organization in the NPPES registry on April 6, 2018.

Where is Aprn Medical LLC located?

Aprn Medical LLC is located at 4253 N Crossover Rd, Fayetteville, AR 72703. The listed phone number is (479) 310-8197.

What is Aprn Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Aprn Medical LLC enrolled in Medicare?

Yes. Aprn Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aprn Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Aprn Medical LLC, in Certified Clinical Nurse Specialist (CNS) and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Aprn Medical LLC was last updated on April 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.