NPIMap

Organization Active NPI

Mercy Health Northwest Arkansas Communities

  • Endocrinology, Diabetes & Metabolism Physician
  • Rogers, AR
National Provider Identifier
1699016774
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES
Practice address
3333 S Pinnacle Hills Pkwy Ste 300
Rogers, AR 72758
Phone
(479) 338-4600
Fax
(479) 338-4607
NPI assigned
Mar 14, 2013
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Greta Wilcher
Title
Cfo
Phone
(479) 314-6104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary

Addresses

Primary practice location

3333 S Pinnacle Hills Pkwy Ste 300
Rogers, AR 72758

Mailing address

2112 S 54TH St
Rogers, AR 72758-8169
Phone (479) 338-4135

Other practice location 1

3333 S Pinnacle Hills Pkwy Ste 300
Rogers, AR 72758-9100
Phone (479) 338-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031216000788 AR Part B Supplier - Clinic/Group Practice 0648177873 Receives reassigned benefits from 485 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rogers, AR; Springdale, AR; Tontitown, AR; Bentonville, AR; Berryville, AR; Centerton, AR; Eureka Springs, AR; Green Forest, AR…
O20181025000858 AR MDPP Supplier - in-Person MDPP Supplier 0648177873 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rogers, AR; Bentonville, AR; Bella Vista, AR

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1000 SE 13th Ct
Bentonville, AR 72712
Phone (479) 273-9056

2708 S Rife Medical Ln
Ste 140
Rogers, AR 72758
Phone (479) 338-3720

5308 W Village Pkwy
Rogers, AR 72758
Phone (479) 338-4135

4600 Mercy Ln
Springdale, AR 72762
Phone (479) 338-2965

4600 Mercy Ln
Ste 120
Springdale, AR 72762
Phone (479) 877-7800

Practitioners & affiliated clinicians

Practitioners 82

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1699016774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 S 54TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588169",
            "telephone_number": "479-338-4135",
            "fax_number": "479-338-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S PINNACLE HILLS PKWY STE 300",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "72758",
            "telephone_number": "479-338-4600",
            "fax_number": "479-338-4607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 S Pinnacle Hills Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727589100",
            "country_code": "US",
            "telephone_number": "479-338-4600",
            "fax_number": "479-338-4607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "WILCHER",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "479-314-6104"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.