Northwest Arkansas Functional Health LLC
NPI 1417669029 · Nurse Practitioner · Tontitown, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northwest Arkansas Functional Health LLC is a Nurse Practitioner organization in Tontitown, AR (NPI 1417669029).
Provider details
- NPI number
- 1417669029
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Brent Rush, Arpn(479) 220-9951
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs 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
- 2022-12-15
- Last updated
- 2022-12-15
- Certified
- 2022-12-15
Frequently asked questions
- What is Northwest Arkansas Functional Health LLC's NPI number?
- Northwest Arkansas Functional Health LLC's National Provider Identifier (NPI) is 1417669029, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northwest Arkansas Functional Health LLC?
- Northwest Arkansas Functional Health LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Northwest Arkansas Functional Health LLC located?
- Northwest Arkansas Functional Health LLC's practice location on file with NPPES is 246 S Maestri Rd Ste 2, Tontitown, AR 72762-9703.
- What is Northwest Arkansas Functional Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Northwest Arkansas Functional Health LLC is (479) 220-9909.
- Does Northwest Arkansas Functional Health LLC accept Medicare?
- Northwest Arkansas Functional Health LLC 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 Northwest Arkansas Functional Health LLC?
- The authorized official listed on Northwest Arkansas Functional Health LLC's NPPES record is Brent Rush, Arpn. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northwest Arkansas Functional Health LLC's NPI active?
- Yes — Northwest Arkansas Functional Health LLC's NPI (1417669029) is active in the NPPES registry as of the last update on 2022-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.