Individual provider Active NPI

Roya Zarepour, APN

  • Family Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1457610743
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A003618 Issued in AR
Practice address
6801 Phoenix Ave Ste 2
Fort Smith, AR 72903-5299
Phone
(479) 384-5378
Fax
(479) 384-5379
NPI assigned
May 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A003618 AR Primary

Addresses

Primary practice location

6801 Phoenix Ave Ste 2
Fort Smith, AR 72903-5299

Mailing address

6801 Phoenix Ave Ste 2
Fort Smith, AR 72903-5299
Phone (479) 384-5378

Other practice location 1

200 N 3rd St
Dardanelle, AR 72834-3802
Phone (479) 229-6191 ext. 144

Other identifiers 2

IdentifierTypeStateIssuer
195708758MedicaidAR
5G972OtherARBCBS

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
I20120705000245 AR Practitioner - Nurse Practitioner 7315102993 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Northwest Arkansas Ambulatory Services, LLCGroup PAC ID 3779827993, 50 clinicians
Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians

Practice addresses (Care Compare)

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

32 S Broadview St
Greenbrier, AR 72058-9601
Phone (501) 456-4001

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-5175

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A003618ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Mississippi, PLLC CurrentSince Nov 11, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Sep 15, 2025 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Sep 15, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Nov 11, 2024 Accepting new patients
Mercy Northwest Arkansas Ambulatory Services LLC CurrentSince Nov 28, 2022 Accepting new patients
Qofl Services LLC 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

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

4600 Rogers Ave
Fort Smith, AR 72903
Phone (479) 431-3600

6801 Phoenix Ave
Ste 2
Fort Smith, AR 72903
Phone (479) 384-5378

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

1020 Highway 62 E
Mountain Home, AR 72653
Phone (870) 337-2171

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

200 S 20th St
Ste B
Rogers, AR 72758
Phone (479) 636-9393

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

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1457610743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 PHOENIX AVE STE 2",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035299",
            "telephone_number": "479-384-5378",
            "fax_number": "479-384-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 PHOENIX AVE STE 2",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035299",
            "telephone_number": "479-384-5378",
            "fax_number": "479-384-5379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Dardanelle",
            "state": "AR",
            "postal_code": "728343802",
            "country_code": "US",
            "telephone_number": "479-229-6191 x144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAREPOUR",
        "first_name": "ROYA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195708758",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5G972",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.