JUSTINA ARRIAZA (APRN) – Family Nurse Practitioner, NPI 1639814742

JUSTINA ARRIAZA (APRN) is a healthcare provider. based in Fayetteville, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. R095613 (AR). The NPI Number for JUSTINA ARRIAZA (APRN) is 1639814742

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
JUSTINA ARRIAZA (APRN)
NPI
1639814742
Phone
(479) 387-6573
Address
4123 N CADILLAC DR APT 9
Enumeration Date
3 May 2022
Last Update Date
24 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8708952015
Graduation Year
2019 (7 years ago)
PAC ID
1557749983
Group Practice PAC ID
5890077093
Professional Enrollment ID
I20220525002750
Address ID
AR727536042PR871XXPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:4State licenses:2Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for JUSTINA ARRIAZA (APRN)

  • 4123 N CADILLAC DR APT 9

    FAYETTEVILLE, AR 727034887

    Phone: (479) 387-6573

    Type: Mailing

  • 610 E EMMA AVE STE 100

    SPRINGDALE, AR 727644634

    Phone: (479) 751-7417

    Type: Location

  • 4196 HIGHWAY 62 412 STE A

    HARDY, AR 725428002

    Phone:

    Type: Mailing

  • 871 E HERITAGE PKWY

    PRAIRIE GROVE, AR 727536042

    Phone: (479) 487-2003

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $763.

Total Amount is formed as General ($763) + Research ($0) + Ownership ($0) = $763.

Last reported payment date: 2024-06-06 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($287).

Total Amount

$763

General + Research + Ownership

Payments

17

Total payment records

General Amount

$763

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-06

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-05-25

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
I20220525002750INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72703)

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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: 5890077093View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerOK
Family Practice, Geriatric MedicineAR
-AR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
-AR

Reviews

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Frequently asked questions

What is the standard ID for JUSTINA ARRIAZA (APRN) in the U.S.?
In the U.S., JUSTINA ARRIAZA (APRN) is identified by NPI 1639814742.
Does the public listing show JUSTINA ARRIAZA (APRN) as active?
JUSTINA ARRIAZA (APRN)'s NPI record reflects an active status in NPPES.
What type of care does JUSTINA ARRIAZA (APRN) provide?
JUSTINA ARRIAZA (APRN)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JUSTINA ARRIAZA (APRN)?
JUSTINA ARRIAZA (APRN) is associated with Fayetteville, Arkansas in the same public data insurers reference.
Why is information missing for JUSTINA ARRIAZA (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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