Individual provider Active NPI

Rachel Frances Mauldin, MD

  • Family Medicine Physician
  • Fayetteville, AR
National Provider Identifier
1326674458
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-15096 Issued in AR
Practice address
1125 N College Ave
Fayetteville, AR 72703-1908
Phone
(479) 521-8260
NPI assigned
Mar 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-15096 AR Primary

Addresses

Primary practice location

1125 N College Ave
Fayetteville, AR 72703-1908

Mailing address

3524 Haywood CV # 72764
Springdale, AR 72764-7634
Phone (479) 387-8387

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Fayetteville Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220407000159 AR Practitioner - Family Practice 0345636908 Reassigns benefits to 3 organizations
I20230921003427 TX Practitioner - Family Practice 0345636908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cherokee NationGroup PAC ID 5799698742, 446 clinicians

Practice addresses (Care Compare)

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100

101 S Moore Ave
Claremore, OK 74017-5047
Phone (539) 234-1000

859 E Melton Dr
Sam Hider Health Center
Jay, OK 74346-0001
Phone (918) 253-4271

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Aug 13, 2023 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Aug 13, 2023 Accepting new patients
Prime Physicians LLC CurrentSince Jun 26, 2023 Accepting new patients
Cherokee Nation Current Accepting new patients
Ies HSP Arkansas PLLC CurrentSince May 28, 2023 Accepting new patients
Circle of Life Family Medicine CurrentSince Mar 29, 2023 Accepting new patients
Conway Regional Medical Center, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Conway Regional Medical Center Inc Family Medicine CurrentSince Mar 1, 2024 Accepting new patients

Locations

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

1100 E Poplar St
Clarksville, AR 72830
Phone (479) 754-5393

2302 College Ave
Conway, AR 72034
Phone (501) 329-3831

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

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

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

901 Jones Rd
Springdale, AR 72762
Phone (479) 750-6632

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 9

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 8

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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1326674458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 HAYWOOD CV # 72764",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647634",
            "telephone_number": "479-387-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N COLLEGE AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031908",
            "telephone_number": "479-521-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULDIN",
        "first_name": "RACHEL",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-15096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Fayetteville",
            "affiliation": "N",
            "endpointDescription": "UAMS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fayetteville",
            "address_1": "1125 N College Ave",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727031908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.