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MISSION FAMILY PRACTICE PLLC
NPI 1982009395
Family Medicine in Fayetteville, AR

Active since October 28, 2014CLIA 04D2025667 · Waiver
2744 E MILLENNIUM DR STE 1, FAYETTEVILLE, AR 72703(479) 571-6000(479) 571-3344 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2026, Oct 24, 2016 (2 updates tracked since 2016).

About Mission Family Practice Pllc NPPES

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

MISSION FAMILY PRACTICE PLLC (NPI 1982009395), doing business as Mission Family Practice, is a healthcare organization registered as a family medicine in Fayetteville, Arkansas and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through October 8, 2026 and lists Mark A Bonner, Physician, as its authorized official.

NPPES Registry Identity

NPI1982009395
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMISSION FAMILY PRACTICE PLLC
Location Address2744 E MILLENNIUM DR STE 1Fayetteville, AR 72703-4710
Mailing AddressPo Box 3678Fayetteville, AR 72702-3678 · (479) 571-6000 · Fax (479) 571-3344
Phone(479) 571-6000
Fax(479) 571-3344
Organization SubpartNo
Authorized OfficialMark A BonnerPhysician · (479) 571-6000
Enumeration DateOctober 28, 2014
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
✔ NPI 1982009395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · C-7247
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2744 E MILLENNIUM DR STE 1, Fayetteville, AR 72703
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Other Names 2

Doing Business AsMission Family Practice
Former Legal Business NameMission Family Practice Pllc

Other Identifiers 4

Medicaid113998001AR
Other51916AR · Unspecified
OtherP00200111AR · Rr Mcr
Other51916AR · Ar Bc/bs

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 Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 Waiver 04D2025667

Mission Family Practice · Fayetteville, AR
Active · expires Oct 8, 2026
CLIA Number04D2025667
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2024
Certificate Expiration DateOctober 8, 2026
Laboratory DirectorMark A. Bonner
Laboratory Phone(479) 571-6000
Laboratory LocationMission Family Practice2744 Millenium Drive, Suite 1, Fayetteville, AR 72703
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK A BONNER MD
Family Medicine
2744 E MILLENNIUM DR STE 1
FAYETTEVILLE, AR 72703
Washington County (479) 571-6000
TRENT A HICKS APRN
Nurse Practitioner (Family)
2744 E MILLENNIUM DR STE 1
FAYETTEVILLE, AR 72703
Washington County (479) 571-6000

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 Mission Family Practice PLLC's NPI number?

The NPI number for Mission Family Practice PLLC is 1982009395. It was assigned to this organization in the NPPES registry on October 28, 2014. The provider is doing business as Mission Family Practice.

Where is Mission Family Practice PLLC located?

Mission Family Practice PLLC is located at 2744 E Millennium Dr Ste 1, Fayetteville, AR 72703. The listed phone number is (479) 571-6000.

What is Mission Family Practice PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mission Family Practice PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2025667) is associated with this NPI, valid through October 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mission Family Practice PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Mission Family Practice PLLC 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 Mission Family Practice PLLC was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.