Individual provider Active NPI

Mildred Murphy Clifton, M.D.

  • Dermatology Physician
  • Bentonville, AR
National Provider Identifier
1679521405
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
E3363 Issued in AR
Practice address
901 SE Plaza Ave
Ste 5
Bentonville, AR 72712-5697
Phone
(479) 273-3376
Fax
(479) 273-3468
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X E3363 AR
Dermatology Physician 207N00000X E3363 AR Primary
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X E3363 AR

Addresses

Primary practice location

901 SE Plaza Ave
Ste 5
Bentonville, AR 72712-5697

Mailing address

901 SE Plaza Ave Ste 5
Bentonville, AR 72712-5473
Phone (479) 273-3376

Other identifiers 4

IdentifierTypeStateIssuer
150037001MedicaidAR
5M432OtherARBCBS #
04D1034086OtherARCLIA
155059002MedicaidAR

Other names 1

  • Dr. Missy Clifton Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041206000967 AR Practitioner - Dermatology 6507822145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Arkansas College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Dermatology Services PLLCGroup PAC ID 4183124472, 4 clinicians

Practice addresses (Care Compare)

901 SE Plaza Ave
Suite 5
Bentonville, AR 72712-5473
Phone (479) 273-3376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions297
Removal or shaving of skin growth18
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E3363ARMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Dermatology Services PLLC Dermatology CurrentSince Jul 14, 2025 Accepting new patients
Northwest Dermatology Clinic, P.a. Dermatology Past Accepting new patients
D. Wayne Brooks, M.D., P.a. PastSince Sep 2, 2013 Accepting new patients
Northwest Arkansas Hospitals, LLC PastSince Feb 18, 2024 Accepting new patients

Locations

901 SE Plaza Ave
Ste 5
Bentonville, AR 72712
Phone (479) 273-3376

1651 E Stearns St
Ste 110
Fayetteville, AR 72703
Phone (479) 273-3376

Interoperability endpoints

  • Direct secure messaging: mclifton@truedermatology.emadirect.md
  • Direct secure messaging: mclifton@premierdermar.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1679521405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SE PLAZA AVE STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125473",
            "telephone_number": "479-273-3376",
            "fax_number": "479-273-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SE PLAZA AVE",
            "address_2": "STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125697",
            "telephone_number": "479-273-3376",
            "fax_number": "479-273-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFTON",
        "first_name": "MILDRED",
        "middle_name": "MURPHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "AR",
            "license": "E3363",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AR",
            "license": "E3363",
            "primary": true
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "AR",
            "license": "E3363",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150037001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "5M432",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "04D1034086",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155059002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISSY",
            "last_name": "CLIFTON",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.