Northwest Benton County Physician Services LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC

Practice address

1102 NW Lowes Ave Ste 2
Bentonville, AR 72712-4978

Phone

(479) 254-8563

Fax

(479) 254-8564

NPI assigned

Mar 23, 2006

Last updated

May 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristina Music

Title

Director Provider Enrollment

Phone

(877) 892-9815

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 161

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.

• Jon Christopher Banwart, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Bentonville, AR
  • NPI 1760410542
  Medicare reassignment Care Compare group NPD
• Lynda D Banwart, NP-C

  • Nurse Practitioner
  • Bentonville, AR
  • NPI 1851328769
  Medicare reassignment Care Compare group NPD
• Joshua R Block, M.D.

  • Family Medicine Physician
  • Centerton, AR
  • NPI 1952600132
  Medicare reassignment Care Compare group NPD
• Joy R Bogart

  • Family Nurse Practitioner
  • Bentonville, AR
  • NPI 1003128844
  Medicare reassignment Care Compare group NPD
• Randy Conover, D.O.

  • Family Medicine Physician
  • Centerton, AR
  • NPI 1003802828
  Medicare reassignment Care Compare group NPD
• Angela Jo Craig, APRN

  • Family Nurse Practitioner
  • Rogers, AR
  • NPI 1467935114
  Medicare reassignment Care Compare group NPD
• George Ryan Declerk, M.D.

  • Family Medicine Physician
  • Rogers, AR
  • NPI 1205037611
  Medicare reassignment Care Compare group NPD
• Alysson Blythe Gaines

  • Family Nurse Practitioner
  • Bentonville, AR
  • NPI 1437655065
  Medicare reassignment Care Compare group NPD
• Wendy Joanne Hart, DNP, AGACNP-BC, APRN

  • Acute Care Nurse Practitioner
  • Springdale, AR
  • NPI 1588213771
  Medicare reassignment Care Compare group NPD
• Charles Irving Jones III, MD

  • Orthopaedic Surgery Physician
  • Bentonville, AR
  • NPI 1295978443
  Medicare reassignment Care Compare group NPD
• Navneet Kaur, M.D.

  • Internal Medicine Physician
  • Bentonville, AR
  • NPI 1417245572
  Medicare reassignment Care Compare group NPD
• Anthony John Klappa, M.D.

  • Interventional Cardiology Physician
  • Springdale, AR
  • NPI 1982998837
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1871553073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 NW LOWES AVE STE 2",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124978",
            "telephone_number": "479-254-8563",
            "fax_number": "479-254-8564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Willow Creek Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727628707",
            "country_code": "US",
            "telephone_number": "479-757-8050",
            "fax_number": "479-757-3529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHWEST BENTON COUNTY PHYSICIAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "MUSIC",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "DIRECTOR PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "877-892-9815"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Arkansas Immunization
• Northwest Arkansas Integrated Medical, Inc
• Northwest Arkansas Internal Medicine, PLLC
• Northwest Arkansas Primary Care Physicians, PA
• Northwest Arkansas Renal Dialysis Associates (Regional Kidney Center Bentonville Dialysis Clinic)
• Northwest Counseling, Inc.
• Northwest Health & Lifestyle Centre
• Alicia Norton
• Lauren Hart Norton, PT
• Rebecca Norton

• Family Medicine Physician in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.