Active NPI
Reilly Roberts, FNP
- Family Nurse Practitioner
- Bentonville, AR
National Provider Identifier
1194684720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 236216
- Practice address
- 1720 S Walton Blvd Ste 6
Bentonville, AR 72712-7533 - Phone
- (479) 464-0834
- NPI assigned
- Jan 20, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 236216 | AR | Primary |
Addresses
Primary practice location
1720 S Walton Blvd Ste 6
Bentonville, AR 72712-7533
Mailing address
3607 SW 106TH St
Gainesville, FL 32608-9177
Phone (662) 588-9889
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260205000659 | AR | Practitioner - Nurse Practitioner | 7810476322 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3607 SW 106TH St
Gainesville, FL 32608-9177
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236216 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Farm Clinic | Family | Current | Accepting new patients |
Locations
1720 S Walton Blvd
Ste 6
Bentonville, AR 72712
Phone (479) 464-0834
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1194684720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3607 SW 106TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326089177",
"telephone_number": "662-588-9889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 S WALTON BLVD STE 6",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127533",
"telephone_number": "479-464-0834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "REILLY",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-20",
"last_updated": "2026-01-20",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "236216",
"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 Jan 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; 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.