ALISA KAY BRANSCUM (APRN) – Family Nurse Practitioner, NPI 1720575467

ALISA KAY BRANSCUM (APRN) is a healthcare provider. based in Rogers, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. A005798 (AR). The NPI Number for ALISA KAY BRANSCUM (APRN) is 1720575467

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ALISA KAY BRANSCUM (APRN)
NPI
1720575467
Phone
(479) 338-4400
Address
2708 S RIFE MEDICAL LN STE 220
Enumeration Date
18 April 2018
Last Update Date
13 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4797517417
Graduation Year
2018 (8 years ago)
PAC ID
2769732866
Group Practice PAC ID
0042262495
Professional Enrollment ID
I20180911003428
Address ID
AR727512504PE1923XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

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Provider Addresses for ALISA KAY BRANSCUM (APRN)

  • Rife Medical Lane, Rogers, Benton County, Arkansas, 72758, United States

    ROGERS, AR 72758

    Phone: (479) 338-4400

    Type: Location

  • 1 Mercy Way Ste 40

    Bella Vista, AR 727143000

    Phone: (479) 802-5588

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $439.

Total Amount is formed as General ($439) + Research ($0) + Ownership ($0) = $439.

Last reported payment date: 2024-03-27 • Largest payer in this snapshot: Novo Nordisk Inc ($65).

Total Amount

$439

General + Research + Ownership

Payments

27

Total payment records

General Amount

$439

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-27

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: 2018-09-11

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
I20180911003428INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes6666$0
99214Established patient office or other outpatient visit, 30-39 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 72758)

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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: 0042262495View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Can I cross-check ALISA KAY BRANSCUM (APRN) using NPI 1720575467?
NPI 1720575467 belongs to ALISA KAY BRANSCUM (APRN); compare other details if you need extra assurance.
Is ALISA KAY BRANSCUM (APRN) shown as active in public data?
Registry records indicate ALISA KAY BRANSCUM (APRN) maintains an active NPI.
What kind of doctor is ALISA KAY BRANSCUM (APRN)?
ALISA KAY BRANSCUM (APRN) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ALISA KAY BRANSCUM (APRN)?
Directory geography for ALISA KAY BRANSCUM (APRN) centers on Rogers, Arkansas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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