Individual provider Active NPI

Valerie Bedwell

  • Family Nurse Practitioner
  • Bentonville, AR
National Provider Identifier
1013394287
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004394 Issued in AR
Practice address
2900 Medical Center Pkwy Ste 240B
Bentonville, AR 72712-3204
Phone
(479) 553-2200
NPI assigned
Apr 27, 2015
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004394 AR Primary

Addresses

Primary practice location

2900 Medical Center Pkwy Ste 240B
Bentonville, AR 72712-3204

Mailing address

2422 N Thompson St
Suite a
Springdale, AR 72764-1757
Phone (479) 757-5025

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address valerie.bedwell.15@2229.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160108000163 AR Practitioner - Nurse Practitioner 1254633282 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shamsul Alam MD PAGroup PAC ID 6002004199, 2 clinicians

Practice addresses (Care Compare)

2618 SE J St
Suite 12
Bentonville, AR 72712-3857
Phone (479) 271-9393

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A004394ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC CurrentSince Nov 2, 2015 Accepting new patients
Northwest Physicians LLC CurrentSince Nov 2, 2015 Accepting new patients
Shamsul Alam MD PA CurrentSince Mar 18, 2024 Accepting new patients
Northwest Benton County Physician Services LLC CurrentSince Nov 2, 2015 Accepting new patients

Locations

2618 SE J St
Ste 12
Bentonville, AR 72712
Phone (479) 367-2866

2618 SE J St
Ste 4
Bentonville, AR 72712

2900 Medical Center Pkwy
Ste 240B
Bentonville, AR 72712
Phone (479) 273-9173

811 SE 28th St
Ste 7
Bentonville, AR 72712
Phone (479) 271-2350

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

2422 N Thompson St
Ste A
Springdale, AR 72764
Phone (479) 750-6566

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGCACA/Endpoint/EGCACA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1013394287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 N THOMPSON ST",
            "address_2": "SUITE A",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727641757",
            "telephone_number": "479-757-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MEDICAL CENTER PKWY STE 240B",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123204",
            "telephone_number": "479-553-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDWELL",
        "first_name": "VALERIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "valerie.bedwell.15@2229.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "2900 Medical Center Pkwy Ste 240B",
            "city": "Bentonville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727123204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.