Individual provider Active NPI

Rebecca Ellen Stewart, APRN, FNP-C

  • Wound Care Registered Nurse
  • Fayetteville, AR
National Provider Identifier
1407552557
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
R041145 Issued in AR
Practice address
27 W Township St
Fayetteville, AR 72703-2821
Phone
(479) 900-5692
NPI assigned
Jan 31, 2023
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 222391 AR
Family Nurse Practitioner 363LF0000X 222391 AR
Registered Nurse 163W00000X R041145 AR
Wound Care Registered Nurse 163WW0000X R041145 AR Primary

Addresses

Primary practice location

27 W Township St
Fayetteville, AR 72703-2821

Mailing address

PO Box 1996
Bentonville, AR 72712-1996
Phone (479) 616-0690

Other practice location 1

2108 S 54th St Ste 1
Rogers, AR 72758-8125
Phone (479) 396-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230410002145 AR Practitioner - Nurse Practitioner 6204201031 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Sana Wound Care LLCGroup PAC ID 1254872161, 5 clinicians

Practice addresses (Care Compare)

27 W Township St
Fayetteville, AR 72703-2821
Phone (479) 480-6677

2900 Medical Ctr Pkwy
Suite 140
Bentonville, AR 72712-3212
Phone (479) 616-0690

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R041145ARMDWound Care Registered Nurse
222391ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Infusion Solutions LLC CurrentSince Mar 13, 2023 Accepting new patients
RS Renewal LLC Family CurrentSince Oct 1, 2023 Accepting new patients
Sana Wound Care LLC Wound Care CurrentSince Feb 23, 2026 Accepting new patients
Mosaic Infusion Solutions LLC CurrentSince Mar 13, 2023 Accepting new patients
Mosaic Infusion Solutions LLC Past Accepting new patients

Locations

2900 Medical Center Pkwy
Ste 140
Bentonville, AR 72712
Phone (479) 553-3100

27 W Township St
Fayetteville, AR 72703
Phone (479) 480-6677

2108 S 54th St
Ste 1
Rogers, AR 72758
Phone (479) 396-5200

6912 S Quentin St
Ste 50
Englewood, CO 80112

Organizations & group practices 6

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.

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": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1407552557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1996",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727121996",
            "telephone_number": "479-616-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 W TOWNSHIP ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032821",
            "telephone_number": "479-900-5692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2108 S 54th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727588125",
            "country_code": "US",
            "telephone_number": "479-396-5200",
            "fax_number": "833-963-1060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "REBECCA",
        "middle_name": "ELLEN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "222391",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "222391",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R041145",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "AR",
            "license": "R041145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.