CHERRIE PHOUTHAVONG
NPI 1952768780
Nurse Practitioner - Acute Care in Fort Smith, AR
About Cherrie Phouthavong NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHERRIE PHOUTHAVONG (NPI 1952768780) is an individual acute care provider in Fort Smith, Arkansas, licensed in Arkansas (A004626) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Cherrie Phouthavong is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Cherrie Phouthavong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Smith, AR 72903
- Reassigned Medicare billing, Arkansas enrollment
- 658 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT SMITH, AR 72903
FORT SMITH, AR 72903
FORT SMITH, AR 72903
FORT SMITH, AR 72903
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 Cherrie Phouthavong's NPI number?
The NPI number for Cherrie Phouthavong is 1952768780. It was assigned to this individual provider in the NPPES registry on January 25, 2016.
Where is Cherrie Phouthavong located?
Cherrie Phouthavong practices at 7301 Rogers Ave, Fort Smith, AR 72903. The listed phone number is (479) 314-6992.
What is Cherrie Phouthavong's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Cherrie Phouthavong enrolled in Medicare?
Yes. Cherrie Phouthavong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Cherrie Phouthavong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cherrie Phouthavong reassigns Medicare benefits to Mercy Clinic Fort Smith Communities (Fort Smith, AR). The 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 Cherrie Phouthavong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cherrie Phouthavong accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Cherrie Phouthavong 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 Cherrie Phouthavong was last updated on January 25, 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.
# Cherrie Phouthavong · NPI 1952768780
Acute Care physician in Fort Smith, Arkansas. Individual provider, active in the CMS NPPES registry since January 25, 2016.
## Identity
- **NPI:** 1952768780 (Entity type: Individual)
- **Enumerated:** January 25, 2016
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** A004626 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 7301 ROGERS AVE, Fort Smith, AR 72903-4100
- **Phone:** (479) 314-6992
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mercy Clinic Fort Smith Communities (NPI 1902073620, Fort Smith, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** January 25, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1952768780) · Data from the CMS NPPES public registry.