Individual provider Active NPI

Meghan Mask

  • Family Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1679226708
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
218889 Issued in AR
Practice address
27 W Township St
Fayetteville, AR 72703-2821
Phone
(479) 900-5692
NPI assigned
Jan 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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 218889 AR Primary

Addresses

Primary practice location

27 W Township St
Fayetteville, AR 72703-2821

Mailing address

27 W Township St
Fayetteville, AR 72703-2821
Phone (479) 900-5692

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
I20230523003165 AR Practitioner - Nurse Practitioner 9436515061 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sana Wound Care LLCGroup PAC ID 1254872161, 5 clinicians

Practice addresses (Care Compare)

27 W Township St
Fayetteville, AR 72703-2821
Phone (479) 480-6677

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sana Wound Care LLC CurrentSince May 2, 2025 Accepting new patients
St. Francis House Nwa, Inc. CurrentSince Mar 2, 2026 Accepting new patients
St Francis House Nwa, Inc CurrentSince Mar 2, 2026 Accepting new patients
St Francis House Nwa, Inc CurrentSince Mar 2, 2026 Accepting new patients

Locations

314 E Centerton Blvd
Centerton, AR 72719

27 W Township St
Fayetteville, AR 72703
Phone (479) 480-6677

22 W Colt Square Dr
Fayetteville, AR 72703
Phone (479) 480-6677

451 S Holly St
Siloam Springs, AR 72761
Phone (479) 524-3141

614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898

Organizations & group practices 6

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": "1643414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1679226708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 W TOWNSHIP ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032821",
            "telephone_number": "479-900-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 W TOWNSHIP ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032821",
            "telephone_number": "479-900-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASK",
        "first_name": "MEGHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-29",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "218889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.