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NORTHWEST ARKANSAS FAMILY MEDICINE AND OBSTETRICS
NPI 1891186193
Family Medicine in Rogers, AR

Active since February 09, 2015CLIA 04D2102590 · Microscopy
2000 S PROMENADE BLVD, SUITE 202, ROGERS, AR 72758(479) 282-2737(479) 316-4072 Get Directions Write a Review

NPPES record last updated: March 11, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 15, 2016, Dec 11, 2015, Nov 30, 2015 (3 updates tracked since 2015).

About Northwest Arkansas Family Medicine And Obstetrics NPPES

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

NORTHWEST ARKANSAS FAMILY MEDICINE AND OBSTETRICS (NPI 1891186193) is a healthcare organization registered as a family medicine in Rogers, Arkansas and active in the NPI registry since February 2015. The organization holds a CLIA Microscopy certificate valid through September 24, 2027 and lists Nicole Scally, Chairman/president/secretary, as its authorized official.

NPPES Registry Identity

NPI1891186193
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNICOLE M. SCALLY MD PA
Location Address2000 S PROMENADE BLVD, SUITE 202Rogers, AR 72758-9073
Mailing Address2000 S Promenade Blvd, Suite 202Rogers, AR 72758-9073 · (479) 282-2737 · Fax (479) 316-4072
Phone(479) 282-2737
Fax(479) 316-4072
Organization SubpartNo
Authorized OfficialNicole ScallyChairman/president/secretary · (479) 282-2737
Enumeration DateFebruary 9, 2015
Last NPPES UpdateMarch 11, 20163 updates tracked since enumeration
✔ NPI 1891186193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · MC-3081
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2000 S PROMENADE BLVD, Rogers, AR 72758
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Other Names 1

Doing Business AsNorthwest Arkansas Family Medicine And Obstetrics

Other Identifiers 4

Medicare PIN5H508AR
Medicare PIN454629AR
Medicaid211449002AR
Medicaid176772001AR

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)

Northwest Arkansas Family Medicine And Obstetrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Northwest Arkansas Family Medicine And Obstetrics, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Tabitha Davies, DO
Family Practice
NPI 1174938609
5302 W VILLAGE PKWY STE 3
Rogers, AR 72758
(479) 282-2737
✔ PECOS✔ Accepts Medicare0.6 mi
Nicole Scally, MD
Family Practice
NPI 1760521777
5302 W VILLAGE PKWY STE 3
Rogers, AR 72758
(479) 282-2737
✔ PECOS✔ Accepts Medicare0.6 mi
Michelle Gardner, APRN
Nurse Practitioner
NPI 1447603808
3730 S PINNACLE HILLS PKWY STE 2
Rogers, AR 72758
(479) 464-5599
✔ PECOS✔ Accepts Medicare1.0 mi
Rebecca Padley, M.D., M.B.A.
Family Practice
NPI 1710229059
612 S 12TH ST
Fort Smith, AR 72901
(479) 424-3193
✔ PECOS✔ Accepts Medicare66 mi
Abigail Johnson, CNM, APRN
Certified Nurse Midwife (CNM)
NPI 1679710768
OB HOSPITALIST GROUP 777 LOWNDES HILL RD. BLDG. 1
Greenville, SC 29607
(864) 908-3530
✔ PECOS✔ Accepts Medicare675 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D2102590

Northwest Arkansas Family Medicine And Obstetrics · Rogers, AR
Active · expires Sep 24, 2027
CLIA Number04D2102590
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorDr. Nicole M. Scally
Laboratory Phone(479) 282-2737
Laboratory LocationNorthwest Arkansas Family Medicine And Obstetrics5302 West Village Parkway, Suite 3, Rogers, AR 72758
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Nicole M. Scally MD PA's NPI number?

The NPI number for Nicole M. Scally MD PA is 1891186193. It was assigned to this organization in the NPPES registry on February 9, 2015. The provider is doing business as Northwest Arkansas Family Medicine And Obstetrics.

Where is Nicole M. Scally MD PA located?

Nicole M. Scally MD PA is located at 2000 S Promenade Blvd Suite 202, Rogers, AR 72758. The listed phone number is (479) 282-2737.

What is Nicole M. Scally MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole M. Scally MD PA enrolled in Medicare?

Yes. Nicole M. Scally MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nicole M. Scally MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Nicole M. Scally MD 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 Family Practice (3), Certified Nurse Midwife (CNM) (1) and Nurse Practitioner (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Nicole M. Scally MD PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D2102590) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nicole M. Scally MD 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 Nicole M. Scally MD 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 Nicole M. Scally MD PA was last updated on March 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.