Individual provider Active NPI

Ashley Rebecca Sawatski

  • Psychiatric/Mental Health Nurse Practitioner
  • Rogers, AR
National Provider Identifier
1548128374
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
123056 Issued in AR
Practice address
3608 W Southern Hills Blvd Ste 4
Rogers, AR 72758-8310
Phone
(479) 633-7052
NPI assigned
Jan 12, 2026
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 123056 AR Primary

Addresses

Primary practice location

3608 W Southern Hills Blvd Ste 4
Rogers, AR 72758-8310

Mailing address

3608 W Southern Hills Blvd Ste 4
Rogers, AR 72758-8310
Phone (479) 633-7052

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
I20260219004073 AR Practitioner - Nurse Practitioner 2769963594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ketamine and IV Therapy Clinic of Nwa LLCGroup PAC ID 6507308707, 12 clinicians

Practice addresses (Care Compare)

101 Grant PL
Suite C
Lowell, AR 72745-7103
Phone (479) 318-2382

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123056ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Balance of Nwa PLLC CurrentSince Jan 12, 2026 Accepting new patients
Ketamine and IV Therapy Clinic of Nwa LLC Psychiatric/Mental Health CurrentSince Jan 12, 2026 Accepting new patients

Locations

101 Grant Pl
Ste C
Lowell, AR 72745
Phone (479) 313-2382

3608 W Southern Hills Blvd
Ste 4
Rogers, AR 72758
Phone (479) 318-2382

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1548128374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 W SOUTHERN HILLS BLVD STE 4",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588310",
            "telephone_number": "479-633-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 W SOUTHERN HILLS BLVD STE 4",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588310",
            "telephone_number": "479-633-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWATSKI",
        "first_name": "ASHLEY",
        "middle_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "123056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.