SOUDARATH LIU (APRN) – Primary Care Nurse Practitioner, NPI 1962153452
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for SOUDARATH LIU (APRN)
5418 S FIREPLACE DR
ROGERS, AR 727584601
Phone: (479) 685-2237
Type: Mailing
1401 N WALTON BLVD
BENTONVILLE, AR 727124676
Phone: (479) 319-5355
Type: Location
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: 2022-02-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220223002678 | I | Nurse Practitioner | AR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 135 | 105 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 48 | 40 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 44 | 37 | $0 |
| 81003 | Automated urinalysis test | 22 | 20 | $0 |
| 87400 | Detection test by immunoassay technique for influenza virus | 21 | 12 | $0 |
Insurance plans in this area (ZIP 72758)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | AR | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MO | |
| Nurse Practitioner | AR | |
| Internal Medicine, General Practice | AR | |
| - | AR | |
| R H E U M A T O L O G Y | AR | |
| - | AR | |
| - | AR | |
| - | AR | |
| Nurse Practitioner | AR |
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