DR. AMANDA RAE BLEDSOE (D.C.) – Chiropractor, NPI 1174583280

DR. AMANDA RAE BLEDSOE (D.C.) is a healthcare provider. based in Conway, Arkansas. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 1663 (AR). The NPI Number for DR. AMANDA RAE BLEDSOE (D.C.) is 1174583280

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMANDA RAE BLEDSOE (D.C.)
NPI
1174583280
Phone
(501) 504-6999
Address
1155 FRONT ST STE 1
Enumeration Date
23 March 2006
Last Update Date
6 November 2023

Doctor Profile

Medical School Name
CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
Secondary Phone
5015046999
Graduation Year
2005 (21 years ago)
PAC ID
4789604612
Group Practice PAC ID
9830457829
Professional Enrollment ID
I20051206000910
Address ID
AR720325991CO775XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

344 CHIROPRACTIC in AR

Provider Addresses for DR. AMANDA RAE BLEDSOE (D.C.)

  • 1155 FRONT ST STE 1

    CONWAY, AR 720324373

    Phone: (501) 504-6999

    Fax: (501) 205-8431

    Type: Mailing

  • 9772 Maumelle Blvd

    North Little Rock, AR 721136737

    Phone: (501) 725-5432

    Fax: (501) 205-8431

    Type: Location

  • 775 AMITY RD

    CONWAY, AR 720325991

    Phone: (501) 504-6999

    Fax: (501) 205-8431

    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: 2005-12-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051206000910IChiropracticARTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions2,081178$0
View full utilization report →

Insurance plans in this area (ZIP 72032)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830457829View full group profile
NameSpecialtyState
Nurse PractitionerAR
C H I R O P R A C T I CAR
C H I R O P R A C T I CAR

Reviews

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Frequently asked questions

What unique ID ties claims to DR. AMANDA RAE BLEDSOE (D.C.)?
NPI 1174583280 is assigned to DR. AMANDA RAE BLEDSOE (D.C.) under the national enumeration system.
Is DR. AMANDA RAE BLEDSOE (D.C.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. AMANDA RAE BLEDSOE (D.C.)'s specialty in plain language?
Clinically, the directory lists DR. AMANDA RAE BLEDSOE (D.C.) with Chiropractor. Clinical services aligned with this taxonomy classification.
What location shows for DR. AMANDA RAE BLEDSOE (D.C.)?
We surface Conway, Arkansas for DR. AMANDA RAE BLEDSOE (D.C.) based on available NPPES addresses.
What if Conway, Arkansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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