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WOUND INTEGRITY ARKANSAS PA
NPI 1831709997
Internal Medicine in Little Rock, AR

Active since August 04, 2020
13501 CHENAL PKWY STE 101, LITTLE ROCK, AR 72211(501) 239-9146(501) 251-1377 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 14, 2022, Aug 4, 2020 (2 updates tracked since 2020).

About Wound Integrity Arkansas Pa NPPES

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

WOUND INTEGRITY ARKANSAS PA (NPI 1831709997), doing business as Wound Integrity Arkansas, Pa, is a healthcare organization registered as an internal medicine in Little Rock, Arkansas and active in the NPI registry since August 2020. The organization lists Han Pham Hulen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1831709997
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWOUND INTEGRITY ARKANSAS PA
Location Address13501 CHENAL PKWY STE 101Little Rock, AR 72211-5262
Mailing Address1 Chisholm Trail Rd Ste 5200Round Rock, TX 78681-5090 · (512) 202-3830 · Fax (512) 354-1106
Phone(501) 239-9146
Fax(501) 251-1377
Organization SubpartNo
Authorized OfficialHan Pham HulenCeo · (214) 945-7313
Enumeration DateAugust 4, 2020
Last NPPES UpdateDecember 1, 20232 updates tracked since enumeration
NPPES CertifiedDecember 1, 2023
✔ NPI 1831709997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
13501 CHENAL PKWY STE 101, Little Rock, AR 72211
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Other Names 1

Former Legal Business NameWound Integrity Arkansas, Pa

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wound Integrity Arkansas Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Wound Integrity Arkansas PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 7

Nurse Practitioner3
Family Practice2
Emergency Medicine1
General Practice1
General Surgery1
Infectious Disease1
Physical Medicine and Rehabilitation1

Clinicians, nearest first (10)

Katrina Gallivan, APRN
Nurse Practitioner
NPI 1972055184
13501 CHENAL PKWY STE 101
Little Rock, AR 72211
(501) 239-9146
✔ PECOS✔ Accepts MedicareSame address
Rachel Mevissen, MD
Family Practice
NPI 1154959559
13501 CHENAL PKWY STE 101
Little Rock, AR 72211
(501) 251-1733
✔ PECOS✔ Accepts MedicareSame address
Chansamorn Nouansavane, MD
Family Practice
NPI 1811098403
6100 MASSARD RD
Fort Smith, AR 72916
(479) 709-7250
✔ PECOS✔ Accepts Medicare116 mi
Jaimie Neal, APRN, FNP-C
Nurse Practitioner
NPI 1851960025
7306 ROGERS AVE
Fort Smith, AR 72903
(479) 314-2807
✔ PECOS✔ Accepts Medicare117 mi
Jennifer Davenport, APN
Nurse Practitioner
NPI 1215256680
7301 ROGERS AVE
Fort Smith, AR 72903
(479) 314-2804
✔ PECOS✔ Accepts Medicare117 mi
Rodney Mcdonald, MD
General Practice
NPI 1811945983
616 S 17TH ST
Fort Smith, AR 72901
(479) 434-3333
✔ PECOS✔ Accepts Medicare121 mi
Han Schmidly
Infectious Disease
NPI 1770593436
9301 N CENTRAL EXPY STE 340
Dallas, TX 75231
(214) 466-2828
✔ PECOS✔ Accepts Medicare282 mi
Ashley Huddleston, M.D.
Emergency Medicine
NPI 1568490621
1300 W ROSEDALE ST STE A
Fort Worth, TX 76104
(817) 730-5300
✔ PECOS✔ Accepts Medicare315 mi
Stephanie Prado, MD
Physical Medicine and Rehabilitation
NPI 1649344391
1907 HIGHWAY 97 E SUITE 130
Jourdanton, TX 78026
(830) 769-5919
✔ PECOS✔ Accepts Medicare538 mi
Rene Parungao, MD
General Surgery
NPI 1942231667
4309 W MEDICAL CENTER DR STE B202
Mchenry, IL 60050
(815) 455-2752
✔ PECOS✔ Accepts Medicare568 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 Wound Integrity Arkansas PA's NPI number?

The NPI number for Wound Integrity Arkansas PA is 1831709997. It was assigned to this organization in the NPPES registry on August 4, 2020. The provider was formerly known as Wound Integrity Arkansas, PA.

Where is Wound Integrity Arkansas PA located?

Wound Integrity Arkansas PA is located at 13501 Chenal Pkwy Ste 101, Little Rock, AR 72211. The listed phone number is (501) 239-9146.

What is Wound Integrity Arkansas PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Wound Integrity Arkansas PA enrolled in Medicare?

Yes. Wound Integrity Arkansas PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wound Integrity Arkansas PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 7 Medicare specialties reassign their Medicare billing to Wound Integrity Arkansas PA. 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. The largest specialties are Nurse Practitioner (3), Family Practice (2) and Emergency Medicine (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wound Integrity Arkansas PA accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Wound Integrity Arkansas PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wound Integrity Arkansas PA was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.