Individual provider Active NPI

Ariel Elizabeth Rohde, PA

  • Physician Assistant
  • North Little Rock, AR
National Provider Identifier
1740768944
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-777 Issued in AR
Practice address
400 W Pershing Blvd
North Little Rock, AR 72114-2146
Phone
(501) 771-7717
Fax
(501) 771-0550
NPI assigned
Jul 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-777 AR
Physician Assistant 363A00000X PA-777 AR Primary

Addresses

Primary practice location

400 W Pershing Blvd
North Little Rock, AR 72114-2146

Mailing address

400 W Pershing Blvd
North Little Rock, AR 72114-2146
Phone (501) 350-4652

Other practice location 1

6209 W 12th St
Little Rock, AR 72204-1505
Phone (501) 663-5221

Other identifiers 1

IdentifierTypeStateIssuer
PA-777OtherARPHYSICIAN ASSISTANT

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
I20230608002340 AR Practitioner - Physician Assistant 5991162711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.66 of 100Reported as group
Quality
87.55
Improvement activities
40
Cost
78.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-777ARMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Primary Care Clinics PA PastSince Jan 1, 1993 Accepting new patients
Southeast Arkansas Five Medical Group, PLLC Past Accepting new patients

Organizations & group practices 3

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": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1740768944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W PERSHING BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721142146",
            "telephone_number": "501-350-4652",
            "fax_number": "501-771-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W PERSHING BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721142146",
            "telephone_number": "501-771-7717",
            "fax_number": "501-771-0550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6209 W 12th St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722041505",
            "country_code": "US",
            "telephone_number": "501-663-5221",
            "fax_number": "501-663-6759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROHDE",
        "first_name": "ARIEL",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PA-777",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT",
            "identifier": "PA-777",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.