NPIMap

Individual provider Active NPI

Michael L Valentine, PA-C

  • Physician Assistant
  • Springdale, AR
National Provider Identifier
1043324692
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA198 Issued in AR
Practice address
5501 Willow Creek Dr
Suite 203
Springdale, AR 72762-8704
Phone
(479) 521-0900
Fax
(479) 521-7284
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 16

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

View all 16

Hospital & facility affiliations 6

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fands Physical Therapy, Inc 217 clinicians
Washington Regional Medical System 238 clinicians

Practice addresses (Care Compare)

1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321

3336 N Futrall Dr
NW Arkansas Neuroscience Institute
Fayetteville, AR 72703-4057
Phone (479) 463-3000

3344 N Futrall Dr
Fayetteville, AR 72703-4057
Phone (479) 521-8200

813 Founders Park Dr E
203 Renal Specialists of Northwest Arkansas
Springdale, AR 72762-6314
Phone (479) 463-2440

Hospital & facility affiliations

  • Washington Regional Medical Center Hospital, Fayetteville, AR, CCN 040004
  • Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010
  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
  • Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022
  • North Arkansas Regional Medical Center Hospital, Harrison, AR, CCN 040017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20091106000562 AR Practitioner - Physician Assistant 6002849171 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System CurrentSince May 1, 2020 Accepting new patients
Washington Regional Medical System CurrentSince Dec 20, 2019 Accepting new patients
Washington Regional Medical System CurrentSince Dec 20, 2019 Accepting new patients
White County Medical Center Past Accepting new patients

Locations

3336 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 444-8827

114 E Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 463-2597

Interoperability endpoints

  • Direct secure messaging: mvalentine42061@washingtonregional.direct-ci.com
  • Direct secure messaging: michaelvalentine@wrms.allscriptsdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA198 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

5501 Willow Creek Dr
Suite 203
Springdale, AR 72762-8704

Mailing address

5501 Willow Creek Dr
Suite 203
Springdale, AR 72762-8704
Phone (479) 521-0900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 14, 2010.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1043324692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 WILLOW CREEK DR",
            "address_2": "SUITE 203",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628704",
            "telephone_number": "479-521-0900",
            "fax_number": "479-521-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 WILLOW CREEK DR",
            "address_2": "SUITE 203",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628704",
            "telephone_number": "479-521-0900",
            "fax_number": "479-521-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.