Active NPI
Ariel Elizabeth Rohde, PA
- Physician Assistant
- North Little Rock, AR
National Provider Identifier
1740768944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-777
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA-777 | Other | AR | PHYSICIAN 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 98.66 of 100
- Quality
- 87.55
- Improvement activities
- 40
- Cost
- 78.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-777 | AR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Primary Care Clinics PA | Past | 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.
-
- Psychiatry Physician
- Siloam Springs, AR
- NPI 1437887437
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1750345427
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1952069759
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.