Individual provider Active NPI

Rachel Griffin

  • Medical Physician Assistant
  • Little Rock, AR
National Provider Identifier
1205426145
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-960 Issued in AR
Practice address
1 Childrens Way
Little Rock, AR 72202-3500
Phone
(501) 364-1323
NPI assigned
Jan 25, 2021
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PAC0984 ND
Physician Assistant 363A00000X 14307 MN
Medical Physician Assistant 363AM0700X AR
Medical Physician Assistant 363AM0700X PA-960 AR Primary

Addresses

Primary practice location

1 Childrens Way
Little Rock, AR 72202-3500

Mailing address

PO Box 5210
Grand Forks, ND 58206-5210
Phone (701) 205-3000

Other practice location 1

1010 N Center St
Lonoke, AR 72086-2005
Phone (501) 438-8075

Other names 1

  • Rachel Dimassimo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, ND, MN, AK, TX5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20210423000366 AR Practitioner - Physician Assistant 6608284054 Reassigns benefits to 5 organizations
I20221220001106 ND Practitioner - Physician Assistant 6608284054 Reassigns benefits to 1 organization
I20221223000743 MN Practitioner - Physician Assistant 6608284054 Reassigns benefits to 1 organization
I20221228003076 AK Practitioner - Physician Assistant 6608284054 Reassigns benefits to 2 organizations
I20230223002887 TX Practitioner - Physician Assistant 6608284054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peterson Medical Clinics LLCGroup PAC ID 9335412220, 91 clinicians

Practice addresses (Care Compare)

1010 N Ctr St
Lonoke, AR 72086-2005
Phone (501) 438-8075

1016 N Fourche Ave
Perryville, AR 72126-8545
Phone (501) 238-1284

123 3Rd Ave E
Suite 300
Alexandria, MN 56308-1998
Phone (701) 205-3000

20 Wilson Farm Rd
Greenbrier, AR 72058-9310
Phone (501) 679-8970

4700 S Washington St
Suite G
Grand Forks, ND 58201-8155

519 Anne St NW
Suite a
Bemidji, MN 56601-4277
Phone (701) 205-3000

528 21St St W
Dickinson, ND 58601-2661
Phone (701) 205-3000

602 E Ash Ave
Glen Ullin, ND 58631-7138
Phone (701) 205-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Mar 18, 2021 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Norton Sound Health Corporation Physician Assistant CurrentSince Jan 1, 2023 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Dec 1, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Mar 18, 2021 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Norton Sound Health Corporation CurrentSince Jan 1, 2023 Accepting new patients
Arkansas Children's Hospital CurrentSince Mar 18, 2021 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Arkansas Childrens Hospital CurrentSince Mar 18, 2021 Accepting new patients
Arkansas Childrens Professional Services Organization LLC CurrentSince Jan 3, 2026 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Oct 19, 2023 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Dec 1, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Oct 19, 2023 Accepting new patients
Lake Country Associates, Inc. PastSince Mar 15, 2010 Accepting new patients
Southwestern Dist Health Unit Past Accepting new patients
Arkansas Childrens Hospital Past Accepting new patients

Locations

20 Wilson Farm Rd
Greenbrier, AR 72058
Phone (501) 679-8970

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1 Childrens Way
Ste 653
Little Rock, AR 72202

106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014

Organizations & group practices 35

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1205426145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5210",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582065210",
            "telephone_number": "701-205-3000",
            "fax_number": "701-732-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-1323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 N Center St",
            "address_purpose": "LOCATION",
            "city": "Lonoke",
            "state": "AR",
            "postal_code": "720862005",
            "country_code": "US",
            "telephone_number": "501-438-8075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0984",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14307",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PA-960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "DIMASSIMO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.