MR. JOHNNY MAC STEVENS (APRN) – Family Nurse Practitioner, NPI 1093104895
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for MR. JOHNNY MAC STEVENS (APRN)
3721 EAST HWY 412
SUITE B
SILOAM SPRINGS, AR 73761
Phone: (479) 215-3080
Fax: (479) 549-4059
Type: Mailing
16485 AUBREY LONG RD
GENTRY, AR 727349671
Phone: (479) 530-5279
Type: Location
16485 Aubrey Long Rd
Gentry, AR 727349671
Phone: (479) 530-5279
Type: Location
3101 SE 14TH ST STE B
BENTONVILLE, AR 727124900
Phone: (479) 250-1053
Fax: (479) 250-0923
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-03-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150316001272 | I | Nurse Practitioner | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 105 | 105 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 58 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 47 | 47 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 46 | 46 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 28 | 14 | $0 |
Insurance plans in this area (ZIP 73761)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MS | |
| Nurse Practitioner | AR | |
| Clinical Social Worker | TN | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | NC | |
| - | MS | |
| - | MS | |
| Nurse Practitioner | MS |
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