Organization Active NPI

New Way Wellness

  • Family Medicine Physician
  • Bentonville, AR
National Provider Identifier
1063232197
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEW WAY WELLNESS
Practice address
2200 SE J St
Bentonville, AR 72712-4185
Phone
(479) 534-9248
NPI assigned
Oct 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Stephanie BurksNPI 1063102994
Title
Aprn
Phone
(479) 364-0462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2200 SE J St
Bentonville, AR 72712-4185

Mailing address

2200 SE J St Ste 12
Bentonville, AR 72712-4186
Phone (479) 364-0462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250116000385 AR Part B Supplier - Clinic/Group Practice 7416485610 Receives reassigned benefits from 1 practitioner
Practice locations: Bentonville, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2316225New Way Wellness2200 SE J Street, Suite 12, Bentonville, AR 72712Certificate of waiverDec 30, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1063232197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SE J ST STE 12",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124186",
            "telephone_number": "479-364-0462",
            "fax_number": "479-364-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SE J ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124185",
            "telephone_number": "479-534-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "479-364-0462"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.