Individual provider Active NPI

Layne McLain

  • Surgical Physician Assistant
  • Bentonville, AR
National Provider Identifier
1841614930
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA-537 Issued in AR
Practice address
1521 Quailridge Way
Bentonville, AR 72713-4479
Phone
(479) 926-3414
NPI assigned
Feb 10, 2014
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA-537 AR Primary

Addresses

Primary practice location

1521 Quailridge Way
Bentonville, AR 72713-4479

Mailing address

1521 Quailridge Way
Bentonville, AR 72713-4479
Phone (479) 926-3414

Other names 1

  • Layne Collins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-537ARMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Jul 1, 2020 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jun 2, 2014 Accepting new patients

Locations

3501 We Knight Dr
Fort Smith, AR 72903
Phone (479) 709-6700

1401 Park Ave
Hot Springs National Park, AR 71901
Phone (501) 623-3781

4313 S Pleasant Crossing Blvd
Rogers, AR 72758
Phone (479) 341-4003

Interoperability endpoints

  • Direct secure messaging: lmclain417380@directb.mercy.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1841614930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 QUAILRIDGE WAY",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727134479",
            "telephone_number": "479-926-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 QUAILRIDGE WAY",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727134479",
            "telephone_number": "479-926-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAIN",
        "first_name": "LAYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AR",
            "license": "PA-537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAYNE",
            "last_name": "COLLINS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.