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MENA SURGICAL CLINIC
NPI 1871738161
Surgery in Mena, AR

Active since December 16, 2008
400 CRESTWOOD CIR STE L, MENA, AR 71953(479) 243-2103(479) 243-2468 Get Directions Write a Review

NPPES record last updated: October 27, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mena Surgical Clinic NPPES

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

MENA SURGICAL CLINIC (NPI 1871738161) is a healthcare organization registered as a surgery in Mena, Arkansas and active in the NPI registry since December 2008. The organization lists Jay Quebedeaux, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871738161
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMENA SURGICAL CLINIC
Location Address400 CRESTWOOD CIR STE LMena, AR 71953-5512
Mailing AddressPo Box 1325Mena, AR 71953-1325 · (479) 243-2103 · Fax (479) 243-2468
Phone(479) 243-2103
Fax(479) 243-2468
Organization SubpartNo
Authorized OfficialJay QuebedeauxCeo · (479) 394-6100
Enumeration DateDecember 16, 2008
Last NPPES UpdateOctober 27, 2016
✔ NPI 1871738161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AR · E0207
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
400 CRESTWOOD CIR STE L, Mena, AR 71953
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Other Identifiers 1

Medicare PIN5G191AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Mena Surgical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mena Surgical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Thomas Sullivan, M.D.
General Surgery
NPI 1508895988
400 CRESTWOOD CIR SUITE L
Mena, AR 71953
(479) 394-1414
✔ PECOS✔ Accepts MedicareSame address
Amy Phelps, APRN
Nurse Practitioner
NPI 1760922058
400 CRESTWOOD CIR STE L
Mena, AR 71953
(479) 243-2103
✔ PECOS✔ Accepts MedicareSame address
Faisal Khan, M.D.
General Surgery
NPI 1598791303
2010 CHESTNUT ST STE H
Van Buren, AR 72956
(479) 471-4280
✔ PECOS✔ Accepts Medicare59 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 Mena Surgical Clinic's NPI number?

The NPI number for Mena Surgical Clinic is 1871738161. It was assigned to this organization in the NPPES registry on December 16, 2008.

Where is Mena Surgical Clinic located?

Mena Surgical Clinic is located at 400 Crestwood Cir Ste L, Mena, AR 71953. The listed phone number is (479) 243-2103.

What is Mena Surgical Clinic's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mena Surgical Clinic enrolled in Medicare?

Yes. Mena Surgical Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mena Surgical Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Mena Surgical Clinic, in General Surgery 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mena Surgical Clinic 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 Mena Surgical Clinic 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 Mena Surgical Clinic was last updated on October 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.