WASHINGTON REGIONAL MEDICAL SYSTEM
NPI 1922745470
Surgery in Fayetteville, AR
About Washington Regional Medical System NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WASHINGTON REGIONAL MEDICAL SYSTEM (NPI 1922745470), doing business as Washington Regional Ozark Surgical Clinic, is a healthcare organization registered as a surgery in Fayetteville, Arkansas and active in the NPI registry since May 2022. The organization lists Dan Eckels, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Washington Regional Medical System is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
106Medicare enrollment records show 106 clinicians reassign Medicare billing to Washington Regional Medical System, which bills Medicare for the services they deliver. Of these, 67 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 18
Nearest to this location (20)
See all 106Fayetteville, AR 72703
Fayetteville, AR 72703
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 Washington Regional Medical System's NPI number?
The NPI number for Washington Regional Medical System is 1922745470. It was assigned to this organization in the NPPES registry on May 17, 2022. The provider is doing business as Washington Regional Ozark Surgical Clinic.
Where is Washington Regional Medical System located?
Washington Regional Medical System is located at 3017 Bob Younkin Dr Suite 101, Fayetteville, AR 72703. The listed phone number is (479) 521-1484.
What is Washington Regional Medical System's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Washington Regional Medical System enrolled in Medicare?
Yes. Washington Regional Medical System is registered in the Medicare PECOS enrollment system.
When is Washington Regional Medical System's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Washington Regional Medical System?
According to the CMS Revalidation Reassignment List (October 2026 release), 106 clinicians in 18 Medicare specialties reassign their Medicare billing to Washington Regional Medical System. 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 (31), Family Practice (21) and General Surgery (12). Of these, 67 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 Washington Regional Medical System was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Washington Regional Medical System · NPI 1922745470
Surgery organization in Fayetteville, Arkansas. Organization record, active in the CMS NPPES registry since May 17, 2022.
## Identity
- **NPI:** 1922745470 (Entity type: Organization)
- **Enumerated:** May 17, 2022
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Also known as:** Washington Regional Ozark Surgical Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Dan Eckels, CFO
## Practice location
- **Address:** 3017 BOB YOUNKIN DR, SUITE 101, Fayetteville, AR 72703
- **Phone:** (479) 521-1484 · **Fax:** (479) 521-1550
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 106 clinicians in 18 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (31), Family Practice (21), General Surgery (12); 67 practice within 10 miles; [full list](https://npiprofile.com/npi/1922745470/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 17, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1922745470) · Data from the CMS NPPES public registry.