Neil A Tracy, M.D.

Individual provider Active NPI Pediatrics Physician · Fayetteville, AR

NPI 1053553495 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1053553495
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
E-7197 (AR)
Practice address
3215 N. North Hill Road
Fayetteville, AR 72703-4424
Phone
(479) 463-7102
Fax
(479) 463-7864
NPI assigned
Mar 31, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 13

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in AR, MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120725001103 AR Practitioner - Pediatric Medicine 6608032271 Reassigns benefits to 4 organizations
I20250307000188 MO Practitioner - Pediatric Medicine 6608032271 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-7197ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White County Medical Center Current
since Jan 24, 2023
Accepting new patients
Citizens Memorial Healthcare Current
since Dec 1, 2024
Accepting new patients
Washington Regional Medical System Current
since Oct 1, 2015
Accepting new patients
Washington Regional Medical System Current
since Oct 1, 2015
Accepting new patients
University of Arkansas for Medical Sciences Current
since Jul 1, 2012
Accepting new patients
White County Medical Center Current
since Jan 24, 2023
Accepting new patients
White County Medical Center Current Accepting new patients
Washington Regional Medical System Current Accepting new patients
University of Arkansas for Medical Sciences Pediatrics Current Accepting new patients
St Francis House Nwa, Inc Current
since Dec 15, 2025
Accepting new patients
St. Francis House Nwa, Inc. Current
since Dec 15, 2025
Accepting new patients
Citizens Memorial Healthcare Pediatrics Current
since Dec 1, 2024
Accepting new patients

Locations

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

2725 Highway 25B
Heber Springs, AR 72543
Phone (501) 362-5800

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

1200 McLain St
Newport, AR 72112
Phone (870) 523-5272

1233 W Poplar St
Rogers, AR 72756
Phone (479) 636-9235

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

500 S Mount Olive St
Siloam Springs, AR 72761
Phone (479) 524-3606

614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

1195 N Oakland Ave
Ste 2
Bolivar, MO 65613
Phone (417) 777-2121

1195 N Oakland Ave
Bolivar, MO 65613
Phone (417) 777-2121

Interoperability endpoints

  • Direct secure messaging: ntracy41825@washingtonregional.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E-7197 AR Yes

Addresses

Primary practice location

3215 N. North Hill Road
Fayetteville, AR 72703-4424

Mailing address

PO Box 550
Lowell, AR 72745-0550
Phone (479) 463-6004

Other providers in Fayetteville, AR

All providers in Fayetteville, AR · Pediatrics Physician in Arkansas

Sources for this page

Verify at the official NPI Registry.