NPIMap

Individual provider Active NPI

Ross Lenzen

  • Family Medicine Physician
  • Greenbrier, AR
National Provider Identifier
1497376453
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E15200 Issued in AR
Practice address
110 N Broadview St
Greenbrier, AR 72058-9475
Phone
(501) 679-3551
Fax
(501) 679-4536
NPI assigned
Apr 30, 2020
Last updated
May 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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 E15200 AR Primary

Addresses

Primary practice location

110 N Broadview St
Greenbrier, AR 72058-9475

Mailing address

PO Box 9662
Conway, AR 72033-9662
Phone (501) 852-1363

Other practice location 1

108 Skyline Dr
Russellville, AR 72801-3362
Phone (479) 968-7170

Other practice location 2

200 N 3rd St Ste 1
Dardanelle, AR 72834-3802
Phone (479) 229-6191

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
I20220803003566 AR Practitioner - Family Practice 1254741705 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conway Regional Medical Center IncGroup PAC ID 3173428414, shared by 26 NPIs, 129 clinicians

Practice addresses (Care Compare)

110 N Broadview St
Greenbrier, AR 72058-9475
Phone (501) 679-3551

1700 Altus St
Suite 110
Conway, AR 72032-4299
Phone (501) 852-1366

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dardanelle Regional, LLC CurrentSince Nov 1, 2025 Accepting new patients
Conway Regional Medical Center Inc Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Dardanelle Regional, LLC CurrentSince Nov 1, 2025 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc CurrentSince Aug 15, 2022 Accepting new patients
Hospital Care Consultants of Fordyce LLC CurrentSince Aug 15, 2022 Accepting new patients
HCC of Warren Hospitalist LLC CurrentSince Aug 15, 2022 Accepting new patients
Conway Regional Medical Center, Inc. CurrentSince May 19, 2024 Accepting new patients
Conway Regional Medical Center, Inc Family Medicine CurrentSince May 1, 2026 Accepting new patients
Ess of Fordyce LLC CurrentSince Aug 15, 2022 Accepting new patients
Conway Regional Medical Center Inc Family Medicine Current Accepting new patients
Conway Regional Medical Center, Inc Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
HCC of Warren LLC CurrentSince Aug 15, 2022 Accepting new patients
Conway Regional Medical Center Inc Past Accepting new patients

Locations

1700 Altus St
Ste 110
Conway, AR 72032
Phone (501) 852-1366

2302 College Ave
Conway, AR 72034
Phone (501) 329-3831

2302 College Ave
Ste 100
Conway, AR 72034
Phone (501) 513-5385

437 Denison St
Ste 2
Conway, AR 72034
Phone (501) 504-2330

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

200 N 3rd St
Dardanelle, AR 72834
Phone (479) 229-2827

200 N 3rd St
Ste 1
Dardanelle, AR 72834
Phone (479) 229-6191

201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300

110 N Broadview St
Greenbrier, AR 72058
Phone (501) 679-3551

2729 S Highway 65 82
Lake Village, AR 71653
Phone (870) 265-5351

108 Skyline Dr
Russellville, AR 72801
Phone (479) 968-7170

404 S Bradley St
Warren, AR 71671
Phone (870) 226-3731

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 11

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": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1497376453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9662",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720339662",
            "telephone_number": "501-852-1363",
            "fax_number": "501-852-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N BROADVIEW ST",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720589475",
            "telephone_number": "501-679-3551",
            "fax_number": "501-679-4536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728013362",
            "country_code": "US",
            "telephone_number": "479-968-7170",
            "fax_number": "479-968-7607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N 3rd St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Dardanelle",
            "state": "AR",
            "postal_code": "728343802",
            "country_code": "US",
            "telephone_number": "479-229-6191",
            "fax_number": "479-229-6194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENZEN",
        "first_name": "ROSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-30",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E15200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrier, AR

Sources for this page

Verify at the official NPI Registry.