ARKANSAS PAIN THERAPY MENA CLINIC LLC
NPI 1972367670
Pain Medicine - Interventional Pain Medicine in Mena, AR
About Arkansas Pain Therapy Mena Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARKANSAS PAIN THERAPY MENA CLINIC LLC (NPI 1972367670) is a healthcare organization registered as an interventional pain medicine in Mena, Arkansas and active in the NPI registry since February 2024. The organization holds a CLIA Certificate of Compliance certificate valid through July 31, 2028 and lists Mark Adams, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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)
Arkansas Pain Therapy Mena Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Arkansas Pain Therapy Mena Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 of Compliance 04D2321450
Arkansas Pain Therapy · Mena, ARFrequently 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 Pain Therapy Mena Clinic LLC's NPI number?
The NPI number for Arkansas Pain Therapy Mena Clinic LLC is 1972367670. It was assigned to this organization in the NPPES registry on February 12, 2024.
Where is Arkansas Pain Therapy Mena Clinic LLC located?
Arkansas Pain Therapy Mena Clinic LLC is located at 1102 Crestwood Cir, Mena, AR 71953. The listed phone number is (479) 234-4433.
What is Arkansas Pain Therapy Mena Clinic LLC's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Arkansas Pain Therapy Mena Clinic LLC enrolled in Medicare?
Yes. Arkansas Pain Therapy Mena Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Arkansas Pain Therapy Mena Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Arkansas Pain Therapy Mena Clinic LLC, in Anesthesiology and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Arkansas Pain Therapy Mena Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 04D2321450) is associated with this NPI, valid through July 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Arkansas Pain Therapy Mena Clinic LLC was last updated on October 7, 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.
# Arkansas Pain Therapy Mena Clinic Llc · NPI 1972367670
Interventional Pain Medicine organization in Mena, Arkansas. Organization record, active in the CMS NPPES registry since February 12, 2024.
## Identity
- **NPI:** 1972367670 (Entity type: Organization)
- **Enumerated:** February 12, 2024
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Organization subpart:** No
- **Authorized official:** Mark Adams, OWNER
## Practice location
- **Address:** 1102 CRESTWOOD CIR, Mena, AR 71953-5513
- **Phone:** (479) 234-4433 · **Fax:** (479) 234-4445
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Anesthesiology (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1972367670) · Data from the CMS NPPES public registry.