DR. ELISA M SPRADLIN (M.D.) – Family Medicine Physician, NPI 1730183443

DR. ELISA M SPRADLIN (M.D.) is a healthcare provider. based in Fort smith, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. L-0503 (TX). The NPI Number for DR. ELISA M SPRADLIN (M.D.) is 1730183443

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELISA M SPRADLIN (M.D.)
NPI
1730183443
Phone
(479) 785-2431
Address
612 S 12TH ST
Enumeration Date
9 June 2005
Last Update Date
29 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4794313500
Graduation Year
1997 (29 years ago)
PAC ID
5496654956
Group Practice PAC ID
3870668510
Professional Enrollment ID
I20040520000833
Address ID
AR729233000BA7003XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:21State licenses:2Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

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Provider Addresses for DR. ELISA M SPRADLIN (M.D.)

  • 612, South 12th Street, Fort Smith, Sebastian County, Arkansas, 72901, United States

    FORT SMITH, AR 729014702

    Phone: (479) 785-2431

    Fax: (479) 494-7787

    Type: Mailing

  • PO BOX 776084

    CHICAGO, IL 606776084

    Phone: (479) 431-3500

    Fax: (479) 452-2098

    Type: Mailing

  • 7003 CHAD COLLEY BLVD

    BARLING, AR 729233000

    Phone: (479) 431-3500

    Fax: (479) 452-2098

    Type: Location

  • 100 W Dean Keeton St Stop A101

    Austin, TX 787121091

    Phone: (512) 475-8235

    Type: Location

  • 100 W DEAN KEETON ST STOP A101

    AUSTIN, TX 787121091

    Phone: (512) 475-8235

    Fax: (512) 475-9693

    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: 2004-05-20

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
I20040520000833IFamily PracticeARTBD

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 72901)

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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: 3870668510View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YAR
Family PracticeAR
-AR
Family PracticeIL
Nurse PractitionerAR
Nurse PractitionerAR
-OK
G A S T R O E N T E R O L O G YAR
Nurse PractitionerAR
O B S T E T R I C S/ G Y N E C O L O G YAR

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does DR. ELISA M SPRADLIN (M.D.) have a public NPI I can cite?
Public records show DR. ELISA M SPRADLIN (M.D.) under NPI 1730183443.
Should I treat DR. ELISA M SPRADLIN (M.D.) as an active provider?
Patients and plans typically see DR. ELISA M SPRADLIN (M.D.) as active in the national extract.
What type of care does DR. ELISA M SPRADLIN (M.D.) provide?
DR. ELISA M SPRADLIN (M.D.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. ELISA M SPRADLIN (M.D.)?
The directory associates DR. ELISA M SPRADLIN (M.D.) with Fort Smith, Arkansas. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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