Active NPI
Venvisor Health of Ar PA
- Nurse Practitioner
- Bentonville, AR
National Provider Identifier
1992553028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- VENVISOR HEALTH OF AR PA
- Practice address
- 1202 NE McClain Rd BLDG 7
Bentonville, AR 72712-3875 - Phone
- (203) 901-2493
- Fax
- (866) 497-2991
- NPI assigned
- May 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Penry
- Title
- Owner
- Phone
- (203) 901-2493
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
1202 NE McClain Rd BLDG 7
Bentonville, AR 72712-3875
Mailing address
PO Box 986500
Boston, MA 02298-6500
Phone (203) 901-2493
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240624001176 | AR | Part B Supplier - Clinic/Group Practice | 8022551647 |
Receives reassigned benefits from 64 practitioners Practice locations: Bentonville, AR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 67
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Marshall, AR
- NPI 1295230845
AR, Nurse Practitioner
-
- Adult Health Nurse Practitioner
- West Memphis, AR
- NPI 1184197501
AR
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747872000000",
"number": "1992553028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 986500",
"city": "BOSTON",
"state": "MA",
"postal_code": "022986500",
"telephone_number": "203-901-2493",
"fax_number": "866-497-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 NE MCCLAIN RD BLDG 7",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123875",
"telephone_number": "203-901-2493",
"fax_number": "866-497-2991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VENVISOR HEALTH OF AR PA",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-13",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A",
"authorized_official_last_name": "PENRY",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-901-2493"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.