Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1689946733 Deactivated / Inactive NPI Male Practitioner

Robert Ellis , RECOVERY ASSISTANT

Case Manager/Care Coordinator • Conway, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Ellis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 06, 2012
NPI Deactivation Date November 06, 2025
Total Practice Duration ~13 Years of Practice (2012 – 2025)

Professional Overview & Biography Verified Profile Summary

Robert Ellis, RECOVERY ASSISTANT was a registered Case Manager/Care Coordinator practicing in Conway, AR. Throughout an active medical career spanning 13 years, Robert Ellis provided care at the practice location at 132 LOWER RIDGE RD until profile deactivation on 2025-11-06.

Practice Location & Contact Primary Location

Practice Address

132 Lower Ridge Rd

Conway, AR 720328518

Telephone 5015489905
Associated Practice Facility / Clinic
🏢 Birch Tree Communities Inc Facility NPI 1770733768

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Conway, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
544 Specialists

Practicing in Conway, AR (11561 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jimi Henderson , RECOVERY ASSISTANT

Case Manager/Care Coordinator

NPI 1003203332

RECOVERYASSISTANT

Carol Kretzmann , LPC

Counselor - Professional

NPI 1033163175

Licensed Professional Counselor

Vertis Trezvant , RECOVERY ASSISTANT

Case Manager/Care Coordinator

NPI 1033436498

RECOVERYASSISTANT

Riley Gambill , RECOVERY ASSISTANT

Case Manager/Care Coordinator

NPI 1033466743

RECOVERYASSISTANT

Dierra Lee , RECOVERY ASSISTANT

Case Manager/Care Coordinator

NPI 1033542857

RECOVERYASSISTANT

Joslyn Acklin

Case Manager/Care Coordinator

NPI 1033594064

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 06, 2025

Record deactivated on November 06, 2025

NPI Profile Active February 06, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 06, 2012

Registered at 132 LOWER RIDGE RD, CONWAY, AR 720328518 (Tel: 5015489905)

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Updated Business Mailing Address February 06, 2012

Registered at PO BOX 1589, BENTON, AR 720181589 (Tel: 5013153344)

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Provider Name / Credentials Updated February 06, 2012

Recorded as ROBERT ELLIS, RECOVERY ASSISTANT

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2012

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration February 06, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689946733
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2012
Last Update: February 06, 2012
Deactivation Date: November 06, 2025

Mailing Address

Po Box 1589

Benton, AR 720181589

Phone: 5013153344

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.