Individual provider Active NPI

Anna Nicole Rinewalt, MD

  • Surgery Physician
  • Little Rock, AR
National Provider Identifier
1720289945
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E7059 Issued in AR
Practice address
108 N Shackleford Rd
Little Rock, AR 72211-2840
Phone
(501) 712-2571
Fax
(501) 404-7789
NPI assigned
May 29, 2007
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X E7059 AR Primary

Addresses

Primary practice location

108 N Shackleford Rd
Little Rock, AR 72211-2840

Mailing address

108 N Shackleford Rd
Little Rock, AR 72211-2840
Phone (501) 712-2571

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
I20110720000781 AR Practitioner - General Surgery 9830367762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr Q Pain and Spine Clinic PAGroup PAC ID 1052450665, 14 clinicians

Practice addresses (Care Compare)

5700 W Markham St
Little Rock, AR 72205-3328
Phone (501) 227-0184

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E7059ARMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Q Pain & Spine Clinic, PA CurrentSince Apr 15, 2024 Accepting new patients
Pain Treatment Centers of America PLLC CurrentSince Jul 16, 2019 Accepting new patients
Pain Treatment Centers of America, PLLC CurrentSince Jul 16, 2019 Accepting new patients
Dr Q Pain & Spine Clinic PA CurrentSince Apr 15, 2024 Accepting new patients

Locations

1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541

115 McNeil St
Benton, AR 72015
Phone (501) 315-0421

108 N Shackleford Rd
Little Rock, AR 72211
Phone (501) 346-8116

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

5700 W Markham St
Little Rock, AR 72205
Phone (501) 663-1211

4020 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 900-8763

3524 E Race Ave
Searcy, AR 72143

Interoperability endpoints

  • Direct secure messaging: nicole.rinewalt@275.securemail.prognocis.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1720289945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N SHACKLEFORD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112840",
            "telephone_number": "501-712-2571",
            "fax_number": "501-404-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N SHACKLEFORD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112840",
            "telephone_number": "501-712-2571",
            "fax_number": "501-404-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINEWALT",
        "first_name": "ANNA",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E7059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.