Archwell Health Professional Services of Arkansas PA
NPI 1154153518ActiveOrganization· Family Medicine· Pine Bluff, AR
Family Medicine in Pine Bluff, Arkansas, registered in NPPES in August 2024. The authorized official on file is Lisa Lucas, Chief Administrative Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154153518 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 15, 2024 |
| Last updated in NPPES | Jul 21, 2025 |
| Certified by provider | Jul 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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