Active NPI
Rachel Frances Mauldin, MD
- Family Medicine Physician
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-15096
- 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
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 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Fayetteville | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Cherokee Nation Home Health Services, Inc.
- Angels Care Home Health of East Oklahoma
- Cherokee Nation W W Hastings Indian Hospital
- Northeastern Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Prime Physicians LLC | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Ies HSP Arkansas PLLC | Current | Accepting new patients | |
| Circle of Life | Family Medicine | Current | Accepting new patients |
| Conway Regional Medical Center, Inc. | Current | Accepting new patients | |
| Conway Regional Medical Center Inc | Family Medicine | Current | 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.
-
dba Conway Regional Hospitalist Physicians
- Hospitalist Physician
- Conway, AR
- NPI 1396913976
-
- General Practice Physician
- Fort Smith, AR
- NPI 1033454723
-
dba Circle of Life Hospice
- Community Based Hospice Care Agency
- Springdale, AR
- NPI 1386755460
Family Medicine
-
dba Conway Regional Mobile Health Unit
- Family Medicine Physician
- Conway, AR
- NPI 1043183544
-
dba Cherokee Nation Public Health
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
- Multi-Specialty Clinic/Center
- Stilwell, OK
- NPI 1992711345
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
-
- Home Health Agency
- Tahlequah, OK
- NPI 1053319582
-
dba Angels Care Home Health of East Oklahoma
- Home Health Agency
- Broken Arrow, OK
- NPI 1851359194
-
dba Tahlequah City Hospital
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1003865999
-
dba Fort Gibson Medical Clinic
- Rural Health Clinic/Center
- Fort Gibson, OK
- NPI 1013458652
Hospital
-
dba Tahlequah Medical Group Primary Care
- Rural Health Clinic/Center
- Tahlequah, OK
- NPI 1306387949
Hospital
-
- Addiction (Substance Use Disorder) Counselor
- Tahlequah, OK
- NPI 1689338519
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.