NPIMap

Individual provider Active NPI

Arlene Urmaza Nepomuceno, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Fayetteville, AR
National Provider Identifier
1598765208
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
E-4939 Issued in AR
Practice address
12 E Appleby Rd Ste 101
Fayetteville, AR 72703-3928
Phone
(479) 463-4444
NPI assigned
Jul 22, 2005
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X E-4939 AR Primary

Addresses

Primary practice location

12 E Appleby Rd Ste 101
Fayetteville, AR 72703-3928

Mailing address

12 E Appleby Rd Ste 101
Fayetteville, AR 72703-3928
Phone (479) 463-4444

Other identifiers 1

IdentifierTypeStateIssuer
16459001MedicaidAR

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
I20070216000229 AR Practitioner - Geriatric MedicinePractitioner - Internal Medicine 5395723886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12 E Appleby Rd
Suite 101
Fayetteville, AR 72703-3928
Phone (479) 463-4444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-4939ARMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System CurrentSince Nov 1, 2016 Accepting new patients
Washington Regional Medical System CurrentSince Nov 1, 2016 Accepting new patients
Northwest Benton County Physician Services LLC CurrentSince Jan 1, 2009 Accepting new patients
Washington Regional Medical System Past Accepting new patients
Regional Physician Services, PC Geriatric Medicine PastSince Mar 10, 2009 Accepting new patients

Locations

1801 Forest Hills Blvd
Ste 201
Bella Vista, AR 72715
Phone (479) 224-6411

1102 NW Lowes Ave
Ste 4
Bentonville, AR 72712
Phone (479) 553-2470

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

12 E Appleby Rd
Ste 101
Fayetteville, AR 72703
Phone (479) 463-4444

2422 N Thompson St
Ste A
Springdale, AR 72764
Phone (479) 750-6566

Interoperability endpoints

  • Direct secure messaging: anepomuceno36397@washingtonregional.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1598765208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E APPLEBY RD STE 101",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033928",
            "telephone_number": "479-463-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E APPLEBY RD STE 101",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033928",
            "telephone_number": "479-463-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEPOMUCENO",
        "first_name": "ARLENE",
        "middle_name": "URMAZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AR",
            "license": "E-4939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16459001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.