Individual provider Active NPI

Rebekah K Mize, APN,FNP

  • Family Nurse Practitioner
  • Clarksville, AR
National Provider Identifier
1497032577
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A003576 Issued in AR
Practice address
107 S Cravens St
Clarksville, AR 72830-3607
Phone
(479) 774-6945
Fax
(479) 774-6947
NPI assigned
Nov 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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 A003576 AR Primary

Addresses

Primary practice location

107 S Cravens St
Clarksville, AR 72830-3607

Mailing address

107 S Cravens St
Clarksville, AR 72830-3607
Phone (479) 774-6945

Other identifiers 2

IdentifierTypeStateIssuer
109720758MedicaidAR
190720758MedicaidAR

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
I20160523000709 AR Practitioner - Nurse Practitioner 0547435463 Reassigns benefits to 5 organizations

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
Urgent Team of Arkansas Physicians LLCGroup PAC ID 1850539198, 155 clinicians
Newgen of Arkansas LLCGroup PAC ID 3779076591, 13 clinicians

Practice addresses (Care Compare)

106 Weir Rd
Suite 4
Russellville, AR 72802-9409
Phone (479) 567-5652

107 S Cravens St
Clarksville, AR 72830-3607
Phone (479) 774-6945

1100 E Poplar St
Clarksville, AR 72830-4419
Phone (479) 754-5454

Hospital & facility affiliations

  • Johnson Regional Medical Center Hospital, Clarksville, AR, CCN 040002
  • St Marys Regional Medical Center Hospital, Russellville, AR, CCN 040041

Merit-based Incentive Payment System (MIPS)

Final score
91.6 of 100Reported as group
Quality
82.11
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Arkansas Emergency Physicians, PLLC Nurse Practitioner CurrentSince Oct 1, 2015 Accepting new patients
Newgen of Arkansas LLC CurrentSince Dec 20, 2025 Accepting new patients
East Arkansas Emergency Physicians, PLLC Nurse Practitioner Current Accepting new patients
Karas Family Walk in Clinic CurrentSince Jul 18, 2024 Accepting new patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Feb 27, 2026 Accepting new patients
East Arkansas Emergency Physicians, PLLC Nurse Practitioner CurrentSince Oct 1, 2015 Accepting new patients
Holistic Health and Hydration, PLC CurrentSince Apr 1, 2023 Accepting new patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Feb 27, 2026 Accepting new patients

Locations

1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300

1100 E Poplar St
Ste C
Clarksville, AR 72830
Phone (479) 754-5454

1100 E Poplar St
Clarksville, AR 72830
Phone (479) 754-5393

107 S Cravens St
Clarksville, AR 72830
Phone (479) 774-6944

767 W North St
Fayetteville, AR 72701
Phone (479) 521-3600

511 W Main St
Russellville, AR 72801
Phone (479) 223-5130

106 Weir Rd
Ste 4
Russellville, AR 72802
Phone (479) 567-5652

Interoperability endpoints

  • Direct secure messaging: rmizeccc@ccc-ar.direct.office.nextgen.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1497032577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S CRAVENS ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303607",
            "telephone_number": "479-774-6945",
            "fax_number": "479-774-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S CRAVENS ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303607",
            "telephone_number": "479-774-6945",
            "fax_number": "479-774-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZE",
        "first_name": "REBEKAH",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "APN,FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109720758",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190720758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, AR

Sources for this page

Verify at the official NPI Registry.