Individual provider Active NPI

Brent Rush

  • Family Nurse Practitioner
  • Tontitown, AR
National Provider Identifier
1184072258
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004751 Issued in AR
Practice address
246 S Maestri Rd Ste 2
Tontitown, AR 72762-9703
Phone
(479) 220-9909
NPI assigned
May 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004751 AR Primary

Addresses

Primary practice location

246 S Maestri Rd Ste 2
Tontitown, AR 72762-9703

Mailing address

246 S Maestri Rd Ste 2
Tontitown, AR 72762-9703
Phone (479) 220-9909

Other practice location 1

609 W Maple Ave
Springdale, AR 72764-5335
Phone (479) 751-5711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160825000392 AR Practitioner - Nurse Practitioner 3779531678 Reassigns benefits to 7 organizations
I20260601001778 LA Practitioner - Nurse Practitioner 3779531678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shiloh Emergency Group PLLCGroup PAC ID 6901228154, 59 clinicians
Springdale Bentonville HBP Services LLCGroup PAC ID 1052759263, 88 clinicians
Ed Physicians of West Louisiana, LLCGroup PAC ID 4880795665, 26 clinicians
East Arkansas Emergency Physicians PLLCGroup PAC ID 5698909067, 27 clinicians

Practice addresses (Care Compare)

246 S Maestri Rd
Suite 4
Tontitown, AR 72762-9703
Phone (479) 220-9909

300 Werner St
Hot Springs, AR 71913-6406
Phone (501) 622-1000

3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (479) 553-1000

503 McMillan Rd
West Monroe, LA 71291-5327
Phone (318) 329-4700

900 W Kings Hwy
Ar Methodist Medical Center
Paragould, AR 72450-5942
Phone (870) 239-7000

Hospital & facility affiliations

  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026

Merit-based Incentive Payment System (MIPS)

Final score
84.39 of 100Reported as group
Quality
99.78
Improvement activities
0
Cost
78.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Siloam Springs Clinic Company LLC Family CurrentSince Oct 1, 2016 Accepting new patients
South Arkansas Emergency Physicians, LLP CurrentSince Jul 1, 2016 Accepting new patients
East Arkansas Emergency Physicians, PLLC Current Accepting new patients
Northwest Arkansas HBP Services LLC CurrentSince May 8, 2023 Accepting new patients
East Arkansas Emergency Physicians, PLLC CurrentSince May 15, 2025 Accepting new patients
South Arkansas Emergency Physicians, LLP CurrentSince Jul 1, 2016 Accepting new patients
Springdale- Bentonville HBP Services, LLC CurrentSince May 3, 2024 Accepting new patients
East Arkansas Emergency Physicians, PLLC CurrentSince May 15, 2025 Accepting new patients
Buena Vida Chiropractic LLC CurrentSince Oct 19, 2022 Accepting new patients
Northwest Arkansas Functional Health LLC CurrentSince Oct 19, 2022 Accepting new patients
Ies Arkansas PLLC CurrentSince Jan 1, 2023 Accepting new patients
South Arkansas Emergency Physicians LLP Current Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

1580 E Centerton Blvd
Bentonville, AR 72712
Phone (479) 553-2150

1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300

1255 S Shiloh Dr
Fayetteville, AR 72701
Phone (479) 757-1760

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

900 W Kingshighway
Paragould, AR 72450
Phone (870) 239-7000

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

3721 Highway 412 E
#B
Siloam Springs, AR 72761
Phone (479) 215-3070

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

246 S Maestri Rd
Ste 4
Tontitown, AR 72762
Phone (479) 220-9909

246 S Maestri Rd
Ste 2
Tontitown, AR 72762
Phone (479) 220-9909

200 Corporate Blvd
Lafayette, LA 70508

Organizations & group practices 15

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 15

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1184072258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 S MAESTRI RD STE 2",
            "city": "TONTITOWN",
            "state": "AR",
            "postal_code": "727629703",
            "telephone_number": "479-220-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 S MAESTRI RD STE 2",
            "city": "TONTITOWN",
            "state": "AR",
            "postal_code": "727629703",
            "telephone_number": "479-220-9909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 W Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727645335",
            "country_code": "US",
            "telephone_number": "479-751-5711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSH",
        "first_name": "BRENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tontitown, AR

Sources for this page

Verify at the official NPI Registry.