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

Mandi Nussbaum, APRN

Individual provider Family Nurse Practitioner · NPI 1467346387

Mandi Nussbaum, APRN is a Nurse Practitioner in Bentonville, Arkansas. Qualified in 2024, 2 years ago. Licensed in Arkansas.

Years since qualifying
2
Licensed in
AR
In the registry since
2025
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

2905 S Walton Blvd Ste 17
Bentonville, AR 72712-7848
Phone: (479) 269-5105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 232056 (AR)

Record details

NPI number1467346387
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 5, 2025
Last updated in NPPESJune 5, 2025
Certification dateMay 20, 2025
Mailing addressPo Box 5751, Bella Vista, AR 72714-0751

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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