Active NPI
Mildred Murphy Clifton, M.D.
- Dermatology Physician
- Bentonville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- E3363
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150037001 | Medicaid | AR | |
| 5M432 | Other | AR | BCBS # |
| 04D1034086 | Other | AR | CLIA |
| 155059002 | Medicaid | AR |
Other names 1
- Dr. Missy Clifton
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
Enrollment records 1
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
Practice addresses (Care Compare)
901 SE Plaza Ave
Suite 5
Bentonville, AR 72712-5473
Phone (479) 273-3376
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 297 |
| Removal or shaving of skin growth | 18 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3363 | AR | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Dermatology Services PLLC | Dermatology | Current | Accepting new patients |
| Northwest Dermatology Clinic, P.a. | Dermatology | Past | Accepting new patients |
| D. Wayne Brooks, M.D., P.a. | Past | Accepting new patients | |
| Northwest Arkansas Hospitals, LLC | Past | 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
- mclifton@truedermatology.emadirect.md
- 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.
-
dba Premier Dermatology & Aesthetics
- Dermatology Physician
- Bentonville, AR
- NPI 1154117463
-
- Physical Medicine & Rehabilitation Physician
- Springdale, AR
- NPI 1134205271
-
dba Northwest Medical Center-Springdale
- Psychiatric Hospital Unit
- Springdale, AR
- NPI 1073377925
-
- Dermatopathology Physician
- Springdale, AR
- NPI 1366490997
Dermatology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.