Active NPI
Connie Jin Ward, APN
- Adult Health Nurse Practitioner
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- A03542
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A03542 | Other | AR | LICENSURE |
| R73205 | Other | AR | LICENSURE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, OR, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| A03542 | AR | MD | Adult Health Nurse Practitioner |
| R73205 | AR | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hospital of Central Connecticut at New Britain General and Bradley | Current | Accepting new patients | |
| Bay Area Hospital District | Current | Accepting new patients | |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current | Accepting new patients | |
| The Charlotte Hungerford Hospital | Adult Health | Current | Accepting new patients |
| Bay Area Hospital District | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| The Charlotte Hungerford Hospital | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | 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
- cward568416@xdr.hhchealthdirect.org
- cward359815@direct.wvuhsdirect.com
- 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.
-
- Hospitalist Physician
- Rogers, AR
- NPI 1699076737
-
- Orthopaedic Surgery Physician
- Fort Smith, AR
- NPI 1699070649
-
dba Bay Area Hospital
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
- General Acute Care Hospital
- Torrington, CT
- NPI 1629075734
Adult Health
-
dba The Hospital of Central Connecticut
- Hospitalist Physician
- New Britain, CT
- NPI 1063461481
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Orthopaedic Surgery Physician
- Rogers, AR
- NPI 1063835908
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
-
- Home Health Agency
- North Bend, OR
- NPI 1215018197
-
- Psychiatric Hospital Unit
- Torrington, CT
- NPI 1639255870
-
dba The Hospital of Central Connecticut
- Psychiatric Hospital Unit
- New Britain, CT
- NPI 1992867006
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1568433480
-
dba Mercy Hospital Northwest Arkansas
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.