NPIMap

Individual provider Active NPI

Andrew Mason Monfee, M.D.

  • Family Medicine Physician
  • Russellville, AR
National Provider Identifier
1447257142
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C6448 Issued in AR
Practice address
3812 W Main St
Russellville, AR 72801-2314
Phone
(479) 968-1245
Fax
(479) 968-4137
NPI assigned
Jul 7, 2005
Last updated
Jan 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C6448 AR Primary

Addresses

Primary practice location

3812 W Main St
Russellville, AR 72801-2314

Mailing address

3812 W Main St
Russellville, AR 72801-2314
Phone (479) 968-1245

Other identifiers 1

IdentifierTypeStateIssuer
149829002MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090420000526 AR Practitioner - Family Practice 2466531587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westside Family Clinic LLCGroup PAC ID 3476915372, 5 clinicians

Practice addresses (Care Compare)

3812 W Main St
Russellville, AR 72801-2314
Phone (479) 968-1245

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C6448ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Family Clinic LLC CurrentSince Jan 15, 2024 Accepting new patients
Russellville Family Clinic PA Family Medicine Past Accepting new patients

Locations

3812 W Main St
Russellville, AR 72801
Phone (479) 968-1245

Interoperability endpoints

  • Direct secure messaging: andrew.monfee@mmc1.eclinicaldirectplus.com

Organizations & group practices 2

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1447257142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012314",
            "telephone_number": "479-968-1245",
            "fax_number": "479-968-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012314",
            "telephone_number": "479-968-1245",
            "fax_number": "479-968-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONFEE",
        "first_name": "ANDREW",
        "middle_name": "MASON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C6448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149829002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.