NPIMap

Organization Active NPI

Mercy Health Northwest Arkansas Communities

  • Endocrinology, Diabetes & Metabolism Physician
  • Rogers, AR
National Provider Identifier
1770087371
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
2112 S 54TH St
Rogers, AR 72758-8169
Phone
(479) 338-4135
Fax
(479) 338-6404
NPI assigned
Mar 20, 2018
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

2112 S 54TH St
Rogers, AR 72758-8169

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181025000858 AR MDPP Supplier - in-Person MDPP Supplier 0648177873 1 other NPI on this enrollment
Practice locations: Rogers, AR; Bentonville, AR; Bella Vista, AR

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Patricia Duckworth NP6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations (25 of 33)

1 Mercy Way
Ste 20
Bella Vista, AR 72714
Phone (479) 802-5555

1 Mercy Way
Ste 30
Bella Vista, AR 72714
Phone (479) 636-9234

1 Mercy Way
Ste 40
Bella Vista, AR 72714
Phone (479) 338-4400

24 Sugar Creek Ctr
Bella Vista, AR 72714
Phone (479) 876-1414

600 Memorial Dr
Bella Vista, AR 72714
Phone (479) 855-6164

4100 SW I St
Ste 100
Bentonville, AR 72713
Phone (479) 636-9234

4100 SW I St
Ste 200
Bentonville, AR 72713
Phone (479) 268-7640

701 SW Regional Airport Blvd
Ste 1
Bentonville, AR 72713
Phone (479) 268-7640

1225 E Centerton Blvd
Centerton, AR 72719
Phone (479) 795-1301

1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221

116 W Monroe Ave
Lowell, AR 72745
Phone (479) 770-8090

325 S 6th Pl
#B
Lowell, AR 72745
Phone (479) 717-7512

801 N Curtis Ave
Pea Ridge, AR 72751
Phone (479) 451-1174

1001 S Horsebarn Rd
Rogers, AR 72758
Phone (479) 273-7700

1019 W Cypress St
Rogers, AR 72756
Phone (479) 636-6551

1101 W Chestnut St
Rogers, AR 72756
Phone (479) 878-1960

1140 W Walnut St
Rogers, AR 72756
Phone (479) 636-2711

1194 W Walnut St
Rogers, AR 72756
Phone (479) 878-2250

1300 W Walnut St
Ste F
Rogers, AR 72756
Phone (479) 631-4400

2113 S 54th St
Ste 3
Rogers, AR 72758
Phone (479) 338-3720

2708 S Rife Medical Ln
Ste 200
Rogers, AR 72758
Phone (479) 338-3080

2708 S Rife Medical Ln
Ste 310
Rogers, AR 72758
Phone (479) 338-3080

2708 S Rife Medical Ln
Ste T40
Rogers, AR 72758
Phone (479) 338-4000

3333 S Pinnacle Hills Pkwy
Ste 300A
Rogers, AR 72758
Phone (479) 271-7077

3801 W Financial Pkwy
#102
Rogers, AR 72758
Phone (479) 877-7780

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercy Hospital Northwest ArkansasRogers, AR, CCN 040010 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 9, 1995
Mercy Hospital BerryvilleBerryville, AR, CCN 041329 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 2, 2018
Mercy Hospital BerryvilleBerryville, AR, CCN 04Z329 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2018
Mercy Rehabilitation Hospital Northwest ArkansasRogers, AR, CCN 043036 Hospital 5% Or Greater Indirect Ownership Interest (49.5%) Sep 28, 2023
Mercy Home HealthRogers, AR, CCN 047149 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Dec 23, 2011

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 560

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 560

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1770087371",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "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

Verify at the official NPI Registry.