Active NPI
Brandi Elana Peters, APRN
- Family Nurse Practitioner
- Bentonville, AR
National Provider Identifier
1619681285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 222368
- Practice address
- 8112 Bob White LN
Bentonville, AR 72712-9306 - Phone
- (479) 310-8076
- Fax
- (833) 476-2185
- NPI assigned
- Jan 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 222368 | AR | Primary |
Addresses
Primary practice location
8112 Bob White LN
Bentonville, AR 72712-9306
Mailing address
8112 Bob White LN
Bentonville, AR 72712-9306
Phone (479) 310-8076
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
902 B S Walton Blvd
Suite 18
Bentonville, AR 72712-5770
Phone (479) 876-8628
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222368 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Med PLLC | Current | Accepting new patients |
Locations
902B S Walton Blvd
Ste 18
Bentonville, AR 72712
Phone (479) 876-8628
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Bentonville, AR
- NPI 1295590453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1619681285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8112 BOB WHITE LN",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727129306",
"telephone_number": "479-310-8076",
"fax_number": "833-476-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8112 BOB WHITE LN",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727129306",
"telephone_number": "479-310-8076",
"fax_number": "833-476-2185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "BRANDI",
"middle_name": "ELANA",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-09",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "222368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.