Lee Walter Thomas, PA-C
Individual provider Active NPI Physician Assistant · Bentonville, AR
NPI 1508099367 · NPPES record last updated Sep 4, 2025
Key facts
- NPI
- 1508099367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 901 SE Plaza Ave Ste 5
Bentonville, AR 72712-5473 - Phone
- (479) 273-3376
- Fax
- (479) 273-3468
- NPI assigned
- Aug 27, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- Quality
- 60.04
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR, LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091027000552 | AR | Practitioner - Physician Assistant | 7517004369 | |
| I20110816000351 | LA | Practitioner - Physician Assistant | 7517004369 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Health Group, LLC | Current |
Accepting new patients | |
| Affinity Health Group, LLC | Current |
Accepting new patients | |
| Orthopaedic Clinic of Monroe | Current |
Accepting new patients | |
| Premier Dermatology & Skin Renewal Center | Past | Accepting new patients |
Locations
1501 Louisville Ave
Monroe, LA 71201
Phone 31832384514310
130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875
2516 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 322-1161
2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525
707 S Vienna St
Ruston, LA 71270
Phone (318) 224-3044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
901 SE Plaza Ave Ste 5
Bentonville, AR 72712-5473
Mailing address
901 SE Plaza Ave Ste 5
Bentonville, AR 72712-5473
Phone (479) 273-3376
Other providers in Bentonville, AR
- Zoe Thijs
- Thomas a. Sarna DDS,PLLC
- Hailey Thomas
- Isabell Page Thomas
- Jessica Lynn Thomas
- Mike Thomas
- Alexis Thomason
- Jennifer Lynn Thomasson
- Sara Thomasson
- Kenneth Ray Thompson
All providers in Bentonville, AR · Physician Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.