Yasmin Al-Atrache, P.A.
Individual provider Active NPI Physician Assistant · Fayetteville, AR
NPI 1386095040 · NPPES record last updated Aug 5, 2025
Key facts
- NPI
- 1386095040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA-1396 (AR)
- Practice address
- 3162 W Martin Luther King Jr Blvd Ste 13&14
Fayetteville, AR 72704-7679 - Phone
- (479) 751-7417
- NPI assigned
- Jun 23, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Francis House Nwa, Inc.
Practice addresses (Care Compare)
500 S Mount Olive St
Siloam Springs, AR 72761-3602
Phone (479) 524-9550
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161020000981 | DC | Practitioner - Physician Assistant | 6901184217 | Reassigns benefits to 4 organizations |
| I20250711001887 | AR | Practitioner - Physician Assistant | 6901184217 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA031265 | DC | MD | Physician Assistant |
| 1130579 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis House Nwa, Inc | Current |
Accepting new patients | |
| Marys Center for Maternal and Child Care Inc | Current |
Accepting new patients | |
| District Hospital Partners LP | Current |
Accepting new patients | |
| St Francis House Nwa, Inc | Current | Accepting new patients | |
| St Francis House Nwa, Inc | Current |
Accepting new patients | |
| St Francis House Nwa, Inc | Current |
Accepting new patients | |
| St. Francis House Nwa, Inc. | Past |
Accepting new patients | |
| St. Francis House Nwa, Inc. | Past |
Accepting new patients | |
| District Hospital Partners L P | Past | Accepting new patients |
Locations
614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898
2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222
2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
1261 E Tulsa Ave
Kansas, OK 74347
Phone (918) 786-7300
Interoperability endpoints
- yasmin.alatrache@maryscenter.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA031265 | DC | |
| Medical Physician Assistant | 363AM0700X | 1130579 | VA | |
| Medical Physician Assistant | 363AM0700X | PA031265 | DC | |
| Physician Assistant | 363A00000X | PA-1396 | AR | Yes |
Addresses
Primary practice location
3162 W Martin Luther King Jr Blvd Ste 13&14
Fayetteville, AR 72704-7679
Mailing address
614 E Emma Ave Ste 300
Springdale, AR 72764-4469
Phone (479) 751-7417
Other providers in Fayetteville, AR
- Brittany N. Aguirre
- Waqas Ahmad
- Zubair Ahmed
- Samantha Aiken
- Mehmet S. Akdol
- Al-Murtadha Al-Gahmi
- Christen Anthony Alaniz
- Bernadette A. Alberty
- Lane E Alderson
- Kimberly Nicole Alexander
All providers in Fayetteville, AR · Physician Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.