Pure Balance of Nwa PLLC
NPI 1073359931 · Psychiatry Physician · Rogers, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pure Balance of Nwa PLLC is a Psychiatry Physician organization in Rogers, AR (NPI 1073359931).
Provider details
- NPI number
- 1073359931
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacob Boydstun, Owner(432) 770-5923
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-07-01
- Last updated
- 2024-08-05
- Certified
- 2024-07-23
Frequently asked questions
- What is Pure Balance of Nwa PLLC's NPI number?
- Pure Balance of Nwa PLLC's National Provider Identifier (NPI) is 1073359931, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pure Balance of Nwa PLLC?
- Pure Balance of Nwa PLLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Pure Balance of Nwa PLLC located?
- Pure Balance of Nwa PLLC's practice location on file with NPPES is 3608 W Southern Hills Blvd, Rogers, AR 72758-8013.
- What is Pure Balance of Nwa PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pure Balance of Nwa PLLC is (479) 633-7052.
- Does Pure Balance of Nwa PLLC accept Medicare?
- Pure Balance of Nwa PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pure Balance of Nwa PLLC?
- The authorized official listed on Pure Balance of Nwa PLLC's NPPES record is Jacob Boydstun, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pure Balance of Nwa PLLC's NPI active?
- Yes — Pure Balance of Nwa PLLC's NPI (1073359931) is active in the NPPES registry as of the last update on 2024-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.