Individual provider Active NPI

Brandi Elana Peters, APRN

  • Family Nurse Practitioner
  • Bentonville, AR
National Provider Identifier
1619681285
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
222368 Issued in AR
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

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230419000434 AR Practitioner - Nurse Practitioner 4880069137 Reassigns benefits to 1 organization

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
Core Med PLLCGroup PAC ID 5294226460, 2 clinicians

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

LicenseStateTypeSpecialty
222368ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Core Med PLLC CurrentSince Sep 7, 2025 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.

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

Verify at the official NPI Registry.