Active NPI
Ashley Meuangmany
- Pediatric Nurse Practitioner
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 120762
- Practice address
- 3380 N Futrall Dr
Fayetteville, AR 72703-4815 - Phone
- (479) 442-7322
- Fax
- (479) 442-7379
- NPI assigned
- Jan 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 120762 | AR | Primary |
Addresses
Primary practice location
3380 N Futrall Dr
Fayetteville, AR 72703-4815
Mailing address
PO Box 1523
Fayetteville, AR 72702-1523
Other practice location 1
3730 S Pinnacle Hills Pkwy
Rogers, AR 72758-8897
Phone (479) 464-5597
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 Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Fayetteville, AR 72703
PO Box
Suite 10678
Fayetteville, AR 72703-0046
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120762 | AR | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Northwest Arkansas PA | Current | Accepting new patients | |
| Medical Associates of Northwest Arkansas PA | Current | Accepting new patients | |
| Medical Associates of Northwest Arkansas, PA | Current | Accepting new patients | |
| Medical Associates of Northwest Arkansas PA | Past | Accepting new patients |
Locations
3380 N Futrall Dr
Ste 1
Fayetteville, AR 72703
Phone (479) 442-7322
3380 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 442-7322
3344 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 582-7213
3730 S Pinnacle Hills Pkwy
Rogers, AR 72758
Phone (479) 464-5597
Interoperability endpoints
- ashley.meuangmany@mana.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Fayetteville, AR
- NPI 1801847827
-
- Pediatrics Physician
- Fayetteville, AR
- NPI 1083059109
-
- Family Medicine Physician
- Lowell, AR
- NPI 1912883273
-
- Podiatrist
- Fayetteville, AR
- NPI 1164140729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1912768854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1523",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727021523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3380 N FUTRALL DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034815",
"telephone_number": "479-442-7322",
"fax_number": "479-442-7379"
}
],
"practiceLocations": [
{
"address_1": "3730 S Pinnacle Hills Pkwy",
"address_purpose": "LOCATION",
"city": "Rogers",
"state": "AR",
"postal_code": "727588897",
"country_code": "US",
"telephone_number": "479-464-5597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEUANGMANY",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-18",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AR",
"license": "120762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.