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ARKANSAS RENAL GROUP PA
NPI 1922769322
Internal Medicine - Nephrology in Russellville, AR

Active since January 07, 2022
111 SKYLINE DR, RUSSELLVILLE, AR 72801(501) 624-6000(501) 321-0710 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Arkansas Renal Group Pa NPPES

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

ARKANSAS RENAL GROUP PA (NPI 1922769322), doing business as Russellville Nephrology, is a healthcare organization registered as a nephrology in Russellville, Arkansas and active in the NPI registry since January 2022. The organization lists Jerry Edgin, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1922769322
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameARKANSAS RENAL GROUP PA
Location Address111 SKYLINE DRRussellville, AR 72801-3363
Mailing Address115 Wrights St Ste CHot Springs, AR 71913-6240 · (501) 624-6000 · Fax (501) 321-0710
Phone(501) 624-6000
Fax(501) 321-0710
Organization SubpartYesParent: Arkansas Renal Grou Pa
Authorized OfficialJerry EdginChief Executive Officer · (501) 624-6000
Enumeration DateJanuary 7, 2022
NPPES CertifiedJanuary 7, 2022
✔ NPI 1922769322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
111 SKYLINE DR, Russellville, AR 72801
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Other Names 1

Doing Business AsRussellville Nephrology

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)

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

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Arkansas Renal Group PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner6
Nephrology5

Clinicians, nearest first (11)

Drew Heiple, M.D.
Nephrology
NPI 1376665646
111 SKYLINE DR
Russellville, AR 72801
(479) 498-4661
✔ PECOS✔ Accepts MedicareSame address
Jacqueline Price, APRN
Nurse Practitioner
NPI 1144856998
111 SKYLINE DR
Russellville, AR 72801
(479) 498-4661
✔ PECOS✔ Accepts MedicareSame address
Melissa Lowman, APRN-CPN
Nurse Practitioner
NPI 1235837279
106 WEIR RD
Russellville, AR 72802
(479) 567-5652
✔ PECOS✔ Accepts Medicare3.5 mi
David Desoto, M.D.
Nephrology
NPI 1598745846
115 WRIGHTS ST
Hot Springs, AR 71913
(501) 321-9803
✔ PECOS✔ Accepts Medicare56 mi
Michael Gersch, MD
Nephrology
NPI 1326068867
115 WRIGHTS ST
Hot Springs, AR 71913
(501) 321-9803
✔ PECOS✔ Accepts Medicare56 mi
Jennifer Hocutt, APRN
Nurse Practitioner
NPI 1821654880
115 WRIGHTS ST
Hot Springs, AR 71913
(903) 490-0247
✔ PECOS✔ Accepts Medicare56 mi
Cherri Roberts, APN
Nurse Practitioner
NPI 1891019774
115 WRIGHTS ST SUITE C
Hot Springs, AR 71913
(501) 321-9803
✔ PECOS✔ Accepts Medicare56 mi
Rachel Stauder, APRN
Nurse Practitioner
NPI 1093548711
115 WRIGHTS ST STE C
Hot Springs, AR 71913
(501) 321-9803
✔ PECOS✔ Accepts Medicare56 mi
Naveen Trehan, MD
Nephrology
NPI 1285045526
115 WRIGHTS ST STE C
Hot Springs, AR 71913
(501) 321-9803
✔ PECOS✔ Accepts Medicare56 mi
Dasaradha Uyyala, MD
Nephrology
NPI 1467970954
115 WRIGHTS ST STE C
Hot Springs National Park, AR 71913
(501) 321-9803
✔ PECOS✔ Accepts Medicare56 mi
Sara Wilkerson, APN
Nurse Practitioner
NPI 1548540396
115 WRIGHTS ST
Hot Springs, AR 71913
(501) 624-6000
✔ PECOS✔ Accepts Medicare56 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 Arkansas Renal Group PA's NPI number?

The NPI number for Arkansas Renal Group PA is 1922769322. It was assigned to this organization in the NPPES registry on January 7, 2022. The provider is doing business as Russellville Nephrology.

Where is Arkansas Renal Group PA located?

Arkansas Renal Group PA is located at 111 Skyline Dr, Russellville, AR 72801. The listed phone number is (501) 624-6000.

What is Arkansas Renal Group PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Arkansas Renal Group PA enrolled in Medicare?

Yes. Arkansas Renal Group PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Arkansas Renal Group PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Arkansas Renal Group 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 (6) and Nephrology (5). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Arkansas Renal Group 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 Arkansas Renal Group 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 Arkansas Renal Group PA was last updated on January 7, 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.