NPIMap

Individual provider Active NPI

Yasmin Al-Atrache, P.A.

  • Physician Assistant
  • Fayetteville, AR
National Provider Identifier
1386095040
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-1396 Issued in 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
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 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 PA031265 DC
Physician Assistant 363A00000X PA-1396 AR Primary
Medical Physician Assistant 363AM0700X 1130579 VA
Medical Physician Assistant 363AM0700X PA031265 DC

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, AR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161020000981 DC Practitioner - Physician Assistant 6901184217 Reassigns benefits to 4 organizations
I20250711001887 AR Practitioner - Physician Assistant 6901184217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Francis House Nwa, Inc.Group PAC ID 0042262495, 67 clinicians

Practice addresses (Care Compare)

500 S Mount Olive St
Siloam Springs, AR 72761-3602
Phone (479) 524-9550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-1396ARMDPhysician Assistant
1130579VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis House Nwa, Inc CurrentSince Aug 4, 2025 Accepting new patients
Mary's Center for Maternal and Child Care, Inc. CurrentSince Mar 11, 2024 Accepting new patients
St Francis House Nwa, Inc CurrentSince Aug 4, 2025 Accepting new patients
St Francis House Nwa, Inc CurrentSince Aug 4, 2025 Accepting new patients
St Francis House Nwa, Inc Current Accepting new patients
Marys Center for Maternal and Child Care Inc CurrentSince Mar 11, 2024 Accepting new patients
District Hospital Partners L P Past Accepting new patients
St. Francis House Nwa, Inc. PastSince Aug 10, 2025 Accepting new patients
St. Francis House Nwa, Inc. PastSince Aug 10, 2025 Accepting new patients

Locations

614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898

2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175

1261 E Tulsa Ave
Kansas, OK 74347
Phone (918) 786-3391

Interoperability endpoints

  • Direct secure messaging: yasmin.alatrache@maryscenter.eclinicaldirectplus.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1386095040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E EMMA AVE STE 300",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644469",
            "telephone_number": "479-751-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 W MARTIN LUTHER KING JR BLVD STE 13&14",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047679",
            "telephone_number": "479-751-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-ATRACHE",
        "first_name": "YASMIN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA031265",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-1396",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "1130579",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DC",
            "license": "PA031265",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.