Marielie Heidi Agesilas, M.D.

Individual provider Active NPI Family Medicine Physician · Springdale, AR

NPI 1073809158 · NPPES record last updated Jun 16, 2026

Key facts

NPI
1073809158
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
E-8365 (AR)
Practice address
2422 N Thompson St
Springdale, AR 72764-1757
Phone
(479) 750-6585
Fax
(479) 750-6594
NPI assigned
Jun 27, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

Medicare Care Compare profile

Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Arkansas for Medical Sciences (1,159 clinicians)

Practice addresses (Care Compare)

1125 N College Ave
Uams Family Medical Center
Fayetteville, AR 72703-1908
Phone (479) 521-8260

601 W Maple Ave
102 Northwest Family Med CT
Springdale, AR 72764-5370
Phone (479) 750-6585

Hospital & facility affiliations

  • University of Arkansas Medical Sciences Hospital · Little Rock, AR · CCN 040016
  • Washington Regional Medical Center Hospital · Fayetteville, AR · CCN 040004
  • Northwest Medical Center-Springdale Hospital · Springdale, AR · CCN 040022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR
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
I20140514000476 AR Practitioner - Family Practice 9739302068 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-8365ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Family Medicine Current
since Jul 1, 2014
Accepting new patients
University of Arkansas for Medical Sciences Family Medicine Current
since Jul 1, 2014
Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
University of Arkansas for Medical Sciences Family Medicine Current
since Jul 1, 2014
Accepting new patients
University of Arkansas for Medical Sciences Family Medicine Past Accepting new patients

Locations

1125 N College Ave
Fayetteville, AR 72703
Phone (479) 521-8260

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

601 W Maple Ave
Ste 102
Springdale, AR 72764
Phone (479) 750-6585

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-8365 AR Yes

Addresses

Primary practice location

2422 N Thompson St
Springdale, AR 72764-1757

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 1

1125 N College Ave
Fayetteville, AR 72703-1908
Phone (479) 521-8260

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 16, 2026.

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1073809158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 N THOMPSON ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727641757",
            "telephone_number": "479-750-6585",
            "fax_number": "479-750-6594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 N College Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727031908",
            "country_code": "US",
            "telephone_number": "479-521-8260",
            "fax_number": "479-443-3903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGESILAS",
        "first_name": "MARIELIE",
        "middle_name": "HEIDI",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-8365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

All providers in Springdale, AR · Family Medicine Physician in Arkansas

Sources for this page

Verify at the official NPI Registry.