Mercy Northwest Arkansas Ambulatory Services LLC
Organization Active NPI Urgent Care Clinic/Center · Springdale, AR
NPI 1366922320 · NPPES record last updated Apr 30, 2025
Key facts
- NPI
- 1366922320
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- MERCY NORTHWEST ARKANSAS AMBULATORY SERVICES LLC
- Practice address
- 4962 Elm Springs Road
Suite 5
Springdale, AR 72762 - Phone
- (479) 318-0161
- NPI assigned
- Aug 20, 2018
- Organization subpart
- No
Authorized official
- Name
- Jill McCart
- Title
- VP- Accounting
- Phone
- (314) 364-3891
Practitioners 103
-
Kayla Ann Adams, APRN
-
Patric Anderson, MD
-
Sandra Sue Armstrong, APN
-
Sunny Bray, NP-C
-
Sheryl Cash, PA-C
-
Donna Ann Dansby, APRN
-
Mandy Lee Fluitt, APRN
-
Leslie A Foster, APRN
-
Tracie Fullove, M.D.
-
Douglas C Holman, MD
-
Ryan A Hueter, DO
-
Kimberly Ann Klinefelter, FNP-C
-
Craig F Marvin, APRN
-
Lan Ngoc Nguyen, FNP/APRN
-
Jomo Osborne, M.D
-
Carmen Oxford, APRN
-
Carol Ann Piatkowski, APRN
-
Lori Ann Posey, APN
-
Patricia Rich, NP
-
Jason D Richey, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181129000273 | AR | Part B Supplier - Clinic/Group Practice | 3779827993 |
Receives reassigned benefits from 103 practitioners Practice locations: Bentonville, AR; Fayetteville, AR; Fort Smith, AR; Rogers, AR; Springdale, AR; Bella Vista, AR |
National Provider Directory
Locations
3493 Bella Vista Way
Ste 103
Bella Vista, AR 72714
Phone (479) 265-3712
3493 Bella Vista Way
Bella Vista, AR 72714
Phone (479) 265-3712
3391 N College Ave
Ste 1
Fayetteville, AR 72703
Phone (479) 439-8120
3391 N College Ave
Ste 2
Fayetteville, AR 72703
Phone (479) 439-8120
6801 Phoenix Ave
Ste 2
Fort Smith, AR 72903
Phone (479) 384-5378
6801 Phoenix Ave
Ste 1
Fort Smith, AR 72903
Phone (479) 384-5378
2501 Market Trce
Ste C
Fort Smith, AR 72908
Phone (479) 384-5384
2012 S Promenade Blvd
Rogers, AR 72758
Phone (479) 616-1485
1160 S 40th St
Springdale, AR 72762
Phone (479) 750-2971
4870 Elm Springs Rd
Ste 102
Springdale, AR 72762
Phone (479) 318-0161
4870 Elm Springs Rd
Ste 101
Springdale, AR 72762
Phone (479) 318-0161
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
4962 Elm Springs Road
Suite 5
Springdale, AR 72762
Mailing address
2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (314) 628-3608
Other practice location 1
2012 S Promenade Blvd
Rogers, AR 72758-9073
Phone (479) 616-1485
Other names
- Mercy-GoHealth Urgent Care
Other providers in Springdale, AR
- Anna Grace Mendes
- Stephanie Danielle Mendoza
- Astryd Menendez
- Robert Duane Mercer
- Mercy Health Northwest Arkansas Communities
- Karina A Merlos
- Victoria Lynn Merrick
- Megan Renee Merrigan
- Jace Merritt
- Metheny Family Care Clinic Corp
All providers in Springdale, AR · Urgent Care Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.