Individual provider Active NPI

Connie Jin Ward, APN

  • Adult Health Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1407140569
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
A03542 Issued in AR
Practice address
7001 Rogers Ave
Suite 200
Fort Smith, AR 72903-4073
Phone
(479) 314-7490
Fax
(479) 314-7494
NPI assigned
Jun 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R73205 AR
Adult Health Nurse Practitioner 363LA2200X A03542 AR Primary

Addresses

Primary practice location

7001 Rogers Ave
Suite 200
Fort Smith, AR 72903-4073

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (479) 338-6377

Other practice location 1

3101 SE 14th St
Bentonville, AR 72712-4900
Phone (479) 338-6377

Other identifiers 2

IdentifierTypeStateIssuer
A03542OtherARLICENSURE
R73205OtherARLICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OR, CT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110816000049 AR Practitioner - Nurse Practitioner 9931378544 Reassigns benefits to 3 organizations
I20231117000135 OR Practitioner - Nurse Practitioner 9931378544 Reassigns benefits to 1 organization
I20241224001380 CT Practitioner - Nurse Practitioner 9931378544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 338-8000

3101 SE 14TH St
Bentonville, AR 72712-4900
Phone (479) 631-2100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A03542ARMDAdult Health Nurse Practitioner
R73205ARMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Dec 30, 2024 Accepting new patients
Bay Area Hospital District CurrentSince Nov 6, 2023 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Dec 30, 2024 Accepting new patients
The Charlotte Hungerford Hospital Adult Health CurrentSince Dec 30, 2024 Accepting new patients
Bay Area Hospital District CurrentSince Nov 6, 2023 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 1, 2026 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Feb 13, 2019 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 1, 2026 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Dec 30, 2024 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 1, 2026 Accepting new patients

Locations

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

2901 S 74th St
Fort Smith, AR 72903
Phone (479) 314-1101

3501 We Knight Dr
Fort Smith, AR 72903
Phone (479) 709-6700

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

Dept LA 25339
Pasadena, CA 91185

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

Interoperability endpoints

  • Direct secure messaging: cward568416@xdr.hhchealthdirect.org
  • Direct secure messaging: cward359815@direct.wvuhsdirect.com
  • Direct secure messaging: cward199429@directb.mercy.net

Organizations & group practices 11

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 2

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": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1407140569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "479-338-6377",
            "fax_number": "479-338-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 ROGERS AVE",
            "address_2": "SUITE 200",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034073",
            "telephone_number": "479-314-7490",
            "fax_number": "479-314-7494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 SE 14th St",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727124900",
            "country_code": "US",
            "telephone_number": "479-338-6377",
            "fax_number": "479-338-6378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "CONNIE",
        "middle_name": "JIN",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "R73205",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A03542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "A03542",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "R73205",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.