Individual provider Active NPI

Ashleigh G Vanblarcom, NP

  • Nurse Practitioner
  • Rogers, AR
National Provider Identifier
1386193407
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
227298 Issued in AR
Practice address
2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone
(479) 636-0200
Fax
(479) 986-3448
NPI assigned
Sep 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024174061 VA
Nurse Practitioner 363L00000X 227298 AR Primary
Nurse Practitioner 363L00000X 4704285996 MI

Addresses

Primary practice location

2710 S Rife Medical LN
Rogers, AR 72758-1452

Mailing address

2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 636-0200

Other practice location 1

1215 Lee St
Charlottesville, VA 22908-0816
Phone (434) 924-9055

Other practice location 2

1500 East Medical Center Dr
3rd floor Cardiovascular Center Recp C
Ann Arbor, MI 48109-5864
Phone (888) 287-1082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190110001521 MI Practitioner - Nurse Practitioner 4688934300 Reassigns benefits to 1 organization
I20241126002493 AR Practitioner - Nurse Practitioner 4688934300 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Physicians LLCGroup PAC ID 0244213213, 36 clinicians

Practice addresses (Care Compare)

601 W Maple Ave
Springdale, AR 72764-5374

601 W Maple Ave
Springdale, AR 72764-5378

609 W Maple Ave
Springdale, AR 72764-5335
Phone (479) 757-8001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704285996MIMDNurse Practitioner
0024174061VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 1, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 1, 2024 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Regents of the University of Michigan CurrentSince Nov 27, 2018 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 1, 2024 Accepting new patients
Northwest Physicians LLC CurrentSince May 1, 2025 Accepting new patients
Regents of the University of Michigan Nurse Practitioner CurrentSince Nov 27, 2018 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 1, 2024 Accepting new patients
Northwest Physicians LLC CurrentSince May 1, 2025 Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

2708 S Rife Medical Ln
Ste 130
Rogers, AR 72758
Phone (479) 338-5555

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

1001 S Horsebarn Rd
Rogers, AR 72758
Phone (479) 273-7700

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

1500 E Medical Center Dr
Fl 3
Ann Arbor, MI 48109
Phone (734) 647-5944

Interoperability endpoints

  • Direct secure messaging: ashleigh.vanblarcom.1@2229.direct.athenahealth.com

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 1

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": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1386193407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 S RIFE MEDICAL LN",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581452",
            "telephone_number": "479-636-0200",
            "fax_number": "479-986-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 S RIFE MEDICAL LN",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581452",
            "telephone_number": "479-636-0200",
            "fax_number": "479-986-3448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080816",
            "country_code": "US",
            "telephone_number": "434-924-9055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 East Medical Center Dr",
            "address_2": "3rd floor Cardiovascular Center Recp C",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481095864",
            "country_code": "US",
            "telephone_number": "888-287-1082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANBLARCOM",
        "first_name": "ASHLEIGH",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024174061",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "227298",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704285996",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.