MANA FM SOUTHWEST BENTONVILLE
NPI 1922775915
Family Medicine in Bentonville, AR
About Mana Fm Southwest Bentonville NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANA FM SOUTHWEST BENTONVILLE (NPI 1922775915) is a healthcare organization registered as a family medicine in Bentonville, Arkansas and active in the NPI registry since August 2021. The organization lists Terry Hurt, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mana Fm Southwest Bentonville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
124Medicare enrollment records show 124 clinicians reassign Medicare billing to Mana Fm Southwest Bentonville, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 124Bentonville, AR 72713
Bentonville, AR 72713
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 Medical Associates Of Northwest Arkansas PA's NPI number?
The NPI number for Medical Associates Of Northwest Arkansas PA is 1922775915. It was assigned to this organization in the NPPES registry on August 26, 2021. The provider is also known as Mana Fm Southwest Bentonville.
Where is Medical Associates Of Northwest Arkansas PA located?
Medical Associates Of Northwest Arkansas PA is located at 701 SW Regional Airport Blvd, Bentonville, AR 72713. The listed phone number is (479) 464-5590.
What is Medical Associates Of Northwest Arkansas PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Medical Associates Of Northwest Arkansas PA enrolled in Medicare?
Yes. Medical Associates Of Northwest Arkansas PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medical Associates Of Northwest Arkansas PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 124 clinicians in 14 Medicare specialties reassign their Medicare billing to Medical Associates Of Northwest 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 Family Practice (33), Nurse Practitioner (22) and Pediatric Medicine (19). Of these, 2 practice at this address and 11 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 Medical Associates Of Northwest Arkansas PA was last updated on January 17, 2024. 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.
# Mana Fm Southwest Bentonville · NPI 1922775915
Family Medicine organization in Bentonville, Arkansas. Organization record, active in the CMS NPPES registry since August 26, 2021.
## Identity
- **NPI:** 1922775915 (Entity type: Organization)
- **Enumerated:** August 26, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Medical Associates Of Northwest Arkansas Pa
- **Organization subpart:** No
- **Authorized official:** Terry Hurt, CFO
## Practice location
- **Address:** 701 SW REGIONAL AIRPORT BLVD, Bentonville, AR 72713-4589
- **Phone:** (479) 464-5590 · **Fax:** (479) 464-5591
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 124 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (33), Nurse Practitioner (22), Pediatric Medicine (19); 2 practice at this address and 11 within 10 miles; [full list](https://npiprofile.com/npi/1922775915/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 17, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1922775915) · Data from the CMS NPPES public registry.