NPIMap

Individual provider Active NPI

Monica M Bomar, PA

  • Physician Assistant
  • Bald Knob, AR
National Provider Identifier
1578819405
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-484 Issued in AR
Practice address
PO Box 456
Bald Knob, AR 72010-0456
Phone
(501) 724-6207
Fax
(501) 724-3305
NPI assigned
Jul 30, 2012
Last updated
Jan 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-484 AR Primary
Medical Physician Assistant 363AM0700X P-T1224 AR

Addresses

Primary practice location

PO Box 456
Bald Knob, AR 72010-0456

Mailing address

117 S 2ND St
Augusta, AR 72006-2309
Phone (870) 347-2534

Other identifiers 1

IdentifierTypeStateIssuer
193007795MedicaidAR

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
I20120919000490 AR Practitioner - Physician Assistant 0345498176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ArcareGroup PAC ID 2567370620, 249 clinicians

Practice addresses (Care Compare)

178 Hwy 167 N
Bald Knob, AR 72010-4058
Phone (501) 724-6207

623 N 9TH St
Augusta, AR 72006-2129
Phone (870) 347-2534

700 Golf Course Dr
Suite 704
Searcy, AR 72143-4862
Phone (501) 268-5540

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince Sep 1, 2012 Accepting new patients
Arcare CurrentSince Sep 1, 2012 Accepting new patients
Arcare Past Accepting new patients

Locations

117 S 2nd St
Augusta, AR 72006

623 N 9th St
#40
Augusta, AR 72006

Interoperability endpoints

  • Direct secure messaging: monica.bomar@arcare.directbygreenway.com

Organizations & group practices 4

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.

  • Arcare
    • Federally Qualified Health Center (FQHC)
    • Augusta, AR
    • NPI 1275635542
    Medicare reassignment Care Compare group
  • Arcare

    dba ARcare142

    • Federally Qualified Health Center (FQHC)
    • Beebe, AR
    • NPI 1487306965
    NPD
  • Arcare

    dba ARcare97

    • Federally Qualified Health Center (FQHC)
    • Jacksonville, AR
    • NPI 1821802729
    NPD
  • Arcare

    dba ARcare 70

    • Federally Qualified Health Center (FQHC)
    • Brinkley, AR
    • NPI 1669433363
    NPD (past)

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1578819405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S 2ND ST",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720062309",
            "telephone_number": "870-347-2534",
            "fax_number": "870-347-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "BALD KNOB",
            "state": "AR",
            "postal_code": "720100456",
            "telephone_number": "501-724-6207",
            "fax_number": "501-724-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMAR",
        "first_name": "MONICA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-484",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "P-T1224",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193007795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bald Knob, AR

Sources for this page

Verify at the official NPI Registry.