University of Central Arkansas
A Medicare group practice based in Conway, AR: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0042612244), with 18 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0042612244
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- AR
- Enrollments
- 1
- Group size
- 7 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20210712000255 | AR | Part B Supplier - Clinic/Group Practice | 1912543240 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
University of Central Arkansas
- Family Medicine Physician
- Conway, AR
- NPI 1912543240
-
University of Central Arkansas
- Speech-Language Pathologist
- Conway, AR
- NPI 1184387540
Practice locations
- Conway, AR2
Clinicians 18
Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (7).
-
Maysoon Faik Biller, M.A., CCC-SLP
- Speech-Language Pathologist
- Russellville, AR
- NPI 1902052921
-
Jennifer Elaine Cox, FNP
- Family Nurse Practitioner
- Conway, AR
- NPI 1992125595
-
Nancy B Ellis, OTR
- Occupational Therapist
- Austin, AR
- NPI 1922339910
-
Khandra Dell Faulkner, MS, RDN
- Registered Dietitian
- Conway, AR
- NPI 1720936883
-
Amber Lynn Lingle Goff, M.S CCC-SLP
- Speech-Language Pathologist
- Conway, AR
- NPI 1164545661
-
Kayla Gowin, LAC
- Mental Health Counselor
- Conway, AR
- NPI 1437521127
-
Rebecca Michelle Gray, APRN
- Family Nurse Practitioner
- Little Rock, AR
- NPI 1497998041
-
Tina Chung Hodges, OT
- Occupational Therapist
- Conway, AR
- NPI 1942433149
-
Tisha R Jenkins, LCSW
- Clinical Social Worker
- Malvern, AR
- NPI 1912230889
-
Leah Maranda Martin, ANP
- Family Nurse Practitioner
- Conway, AR
- NPI 1033329701
-
Ashley Megan McClain, OTD, OTR/L
- Occupational Therapist
- Conway, AR
- NPI 1518622257
-
Randy Joseph Pastor, DO
- Family Medicine Physician
- Jacksonville, AR
- NPI 1710983465
-
Mary Jane Pettit, RD LD
- Registered Dietitian
- Conway, AR
- NPI 1801054747
-
Christopher Kelly Rigsby, PT, DPT
- Physical Therapist
- Conway, AR
- NPI 1659823219
-
Rachel M Scott, PT
- Physical Therapist
- Conway, AR
- NPI 1417193327
-
Tiffany Vaughan
- Occupational Therapist
- Ward, AR
- NPI 1861528358
-
Richelle Leigh Weese, M.S.CCC-SLP
- Speech-Language Pathologist
- Conway, AR
- NPI 1427168558
-
Lance Kyle White, LPC
- Professional Counselor
- Conway, AR
- NPI 1710123377
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.