Miguel Angel Salas, APRN CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

228067 Issued in AR

Practice address

1301 S Walton Blvd
Bentonville, AR 72712-6284

Phone

(479) 367-3078

NPI assigned

Apr 22, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Team of Arkansas Physicians LLCGroup PAC ID 1850539198, 155 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

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.

• Urgent Team of Arkansas Physicians, LLC

  • Rural Health Clinic/Center
  • Searcy, AR
  • NPI 1992041370
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1174378186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HAYDEN BLVD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727566903",
            "telephone_number": "479-925-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S WALTON BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126284",
            "telephone_number": "479-367-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "APRN CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "228067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landru Ryder
• Meghan A Ryder, LCSW
• Roberto Saez, MD
• Catherine Sain
• Debora Salas
• Danielle Jacqueline Salerno, SLP
• Jennifer Salgado
• Nadia Salley
• Ester Arejola Salvador, MD
• Sam'S Club Optical

• Family Nurse Practitioner in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.