Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katrina Noelle Richard, PA

Individual provider Physician Assistant · NPI 1669642849

Katrina Noelle Richard, PA is a Physician Assistant in Bentonville, Arkansas. Qualified in 2004, 22 years ago. Practices with Mercy Northwest Arkansas Ambulatory Services, LLC, a 50-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
22
Licensed in
AR
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3101 SE 14th St
Bentonville, AR 72712-4900
Phone: (479) 250-1053
Fax: (479) 250-0923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1125 N College Ave, Fayetteville, AR 72703-1908 — (479) 713-7010

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-266 (AR)

Record details

NPI number1669642849
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 4, 2008
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Mercy Northwest Arkansas Ambulatory Services, Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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