Cynthia Beecher

Individual provider Active NPI Family Nurse Practitioner · Bentonville, AR

NPI 1447571583 · NPPES record last updated Nov 8, 2022

Key facts

NPI
1447571583
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
A004177 (AR)
Practice address
3101 SE 14TH St
Bentonville, AR 72712-4900
Phone
(479) 250-1053
Fax
(479) 250-0923
NPI assigned
Jun 11, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Northwest Arkansas Ambulatory Services, LLC (50 clinicians)

Practice addresses (Care Compare)

3101 SE 14TH St
Bentonville, AR 72712-4900
Phone (479) 250-1053

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160719002090 AR Practitioner - Nurse Practitioner 6204951064 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A004177ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Northwest Arkansas Ambulatory Services LLC Current
since Nov 28, 2022
Accepting new patients
Kennewick Public Hospital District Past Accepting new patients
Mercy Health Northwest Arkansas Communities Past Accepting new patients

Locations

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

2012 S Promenade Blvd
Rogers, AR 72758
Phone (479) 616-1485

1160 S 40th St
Springdale, AR 72762
Phone (479) 750-2971

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60154830 WA
Family Nurse Practitioner 363LF0000X A004177 AR Yes

Addresses

Primary practice location

3101 SE 14TH St
Bentonville, AR 72712-4900

Mailing address

3101 SE 14TH St
Bentonville, AR 72712-4900
Phone (479) 250-1053

Other practice location 1

7211 W Deschutes Ave Ste B
Kennewick, WA 99336-7715
Phone (509) 735-2069

Other providers in Bentonville, AR

All providers in Bentonville, AR · Family Nurse Practitioner in Arkansas

Sources for this page

Verify at the official NPI Registry.