Individual provider Active NPI

Patricia Ellen Sheppard, APRN

  • Family Nurse Practitioner
  • Bentonville, AR
National Provider Identifier
1740649920
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004612 Issued in AR
Practice address
601 SW Regional Airport Blvd
Bentonville, AR 72713-9256
Phone
(479) 553-2664
Fax
(479) 553-2536
NPI assigned
Feb 17, 2016
Last updated
May 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 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 A004612 AR Primary

Addresses

Primary practice location

601 SW Regional Airport Blvd
Bentonville, AR 72713-9256

Mailing address

601 SW Regional Airport Blvd
Bentonville, AR 72713-9256
Phone (479) 553-2664

Other identifiers 1

IdentifierTypeStateIssuer
213490758MedicaidAR

Other names 1

  • Patricia Ellen Lengel Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patricia.sheppard.1@2229.direct.athenahealth.com Health Information Exchange (HIE)

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
I20160503000087 AR Practitioner - Nurse Practitioner 7719286442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Benton County Physician Services LLCGroup PAC ID 3577503689, 36 clinicians

Practice addresses (Care Compare)

101 Sun Meadow Dr
Centerton, AR 72719-9610
Phone (479) 795-0426

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC CurrentSince Feb 1, 2021 Accepting new patients
Northwest Physicians LLC CurrentSince Feb 1, 2021 Accepting new patients
Northwest Benton County Physician Services LLC CurrentSince Oct 14, 2019 Accepting new patients
Boston Mountain Rural Health Center Inc Past Accepting new patients

Locations

3400 SE Macy Rd
Ste 18
Bentonville, AR 72712
Phone (478) 845-0880

601 SW Regional Airport Blvd
Bentonville, AR 72713
Phone (479) 268-4447

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

934 N Gaskill St
Huntsville, AR 72740
Phone (479) 738-5500

2000 S 42nd St
Ste 100
Rogers, AR 72758
Phone (479) 273-9173

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

Interoperability endpoints

  • Direct secure messaging: patricia.sheppard.1@2229.direct.athenahealth.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": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1740649920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SW REGIONAL AIRPORT BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727139256",
            "telephone_number": "479-553-2664",
            "fax_number": "479-553-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SW REGIONAL AIRPORT BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727139256",
            "telephone_number": "479-553-2664",
            "fax_number": "479-553-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "PATRICIA",
        "middle_name": "ELLEN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213490758",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patricia.sheppard.1@2229.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "601 SW Regional Airport Blvd",
            "city": "Bentonville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727139256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "LENGEL",
            "middle_name": "ELLEN",
            "credential": "APRN-FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.