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

Mr. Johnny Mac Stevens, APRN

Individual provider Family Nurse Practitioner · NPI 1093104895

Mr. Johnny Mac Stevens, APRN is a Nurse Practitioner in Bentonville, Arkansas. Qualified in 2014, 12 years ago. Practices with Fast Pace Mississippi PLLC, a 189-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
12
Licensed in
AR
In the registry since
2015
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

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Practice location Address checks out

3101 SE 14th St Ste B
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)

  • 16485 Aubrey Long Rd, Gentry, AR 72734-9671 — (479) 530-5279

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A004282 (AR)

Record details

NPI number1093104895
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorYes
NPI enumeratedJanuary 16, 2015
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022
Mailing address3101 Se 14th St Ste B, Bentonville, AR 72712-4900

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Fast Pace Mississippi Pllc — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bentonville