MISSION FAMILY PRACTICE PLLC
NPI 1982009395
Family Medicine in Fayetteville, AR
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 lists Mark A Bonner, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 4
Group Practice 1
Accepted 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)
Mission Family Practice Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Mission Family Practice PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 Waiver 04D2025667
Mission Family Practice · Fayetteville, 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 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.
Is Mission Family Practice PLLC enrolled in Medicare?
Yes. Mission Family Practice PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mission Family Practice PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Mission Family Practice PLLC. 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 Family Practice (2). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mission Family Practice PLLC 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 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 5 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.
# Mission Family Practice Pllc · NPI 1982009395
Family Medicine organization in Fayetteville, Arkansas. Organization record, active in the CMS NPPES registry since October 28, 2014.
## Identity
- **NPI:** 1982009395 (Entity type: Organization)
- **Enumerated:** October 28, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Mission Family Practice (Doing Business As); Mission Family Practice PLLC (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Mark Bonner, PHYSICIAN
## Practice location
- **Address:** 2744 E MILLENNIUM DR STE 1, Fayetteville, AR 72703-4710
- **Phone:** (479) 571-6000 · **Fax:** (479) 571-3344
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (2); 2 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 14, 2026
- **Other identifiers:** Medicaid 113998001 (AR); Other 51916 (AR); Other P00200111 (AR); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1982009395) · Data from the CMS NPPES public registry.