BRENT RUSH – Family Nurse Practitioner, NPI 1184072258

BRENT RUSH is a healthcare provider. based in Siloam springs, Arkansas. specializing in NURSE PRACTITIONER. They hold a License No. A004751 (AR). The NPI Number for BRENT RUSH is 1184072258

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
BRENT RUSH
NPI
1184072258
Phone
(479) 215-3080
Address
3721 E US HWY 412
Enumeration Date
31 May 2016
Last Update Date
4 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8702397000
Graduation Year
2016 (10 years ago)
PAC ID
3779531678
Group Practice PAC ID
5698909067
Professional Enrollment ID
I20160825000392
Address ID
AR724505942PA900XXHWYX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for BRENT RUSH

  • 3721 E US HWY 412

    SUITE B

    SILOAM SPRINGS, AR 727618010

    Phone: (479) 215-3080

    Type: Mailing

  • 609 W Maple Ave

    Springdale, AR 727645335

    Phone: (479) 751-5711

    Type: Location

  • Northwest Medical Center, 609, West Maple Avenue, Springdale, Washington County, Arkansas, 72764, United States

    SPRINGDALE, AR 727645335

    Phone: (479) 751-5711

    Type: Location

  • 246 S MAESTRI RD STE 2

    TONTITOWN, AR 727629703

    Phone: (479) 220-9909

    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: 2016-08-25

PECOS data refreshed: 2026-06-15

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
I20160825000392INurse PractitionerARTBD

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
99284Emergency department visit with moderate level of medical decision making5049$0
99285Emergency department visit with high level of medical decision making3939$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2926$0
View full utilization report →

Insurance plans in this area (ZIP 72761)

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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: 5698909067View full group profile
NameSpecialtyState
Nurse PractitionerVA
-AR
Family PracticeAR
Nurse PractitionerAR
Emergency Medicine, Internal Medicine, Emergency MedicineNJ
Family PracticeIL
Family PracticeTN
Emergency Medicine, Family PracticeAR
Family PracticeAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

What federal number belongs to BRENT RUSH?
The federal identifier for BRENT RUSH is NPI 1184072258.
Is BRENT RUSH's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does BRENT RUSH list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for BRENT RUSH. Clinical services aligned with this taxonomy classification.
Where does public data place BRENT RUSH?
The snapshot lists Siloam Springs, Arkansas for BRENT RUSH; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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