Janice Lynn Wilson, | |
2012 S Promenade Blvd, Rogers, AR 72758 | |
(479) 616-1485 | |
(479) 239-0536 |
Full Name | Janice Lynn Wilson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 2012 S Promenade Blvd, Rogers, Arkansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235629130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A005643 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Northwest Arkansas Ambulatory Services, Llc | 3779827993 | 40 |
Entity Name | Siloam Springs Clinic Company Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013155431 PECOS PAC ID: 9032275318 Enrollment ID: O20090312000025 |
Entity Name | Mercy Northwest Arkansas Ambulatory Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366922320 PECOS PAC ID: 3779827993 Enrollment ID: O20181129000273 |
Entity Name | Northwest Arkansas Integrated Medical, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801439302 PECOS PAC ID: 5193158418 Enrollment ID: O20191127000724 |
Mailing Address | Practice Location Address |
---|---|
Janice Lynn Wilson, 2012 S Promenade Blvd, Rogers, AR 72758-9073 Ph: (479) 616-1485 | Janice Lynn Wilson, 2012 S Promenade Blvd, Rogers, AR 72758 Ph: (479) 616-1485 |
Lauren Elizabeth Nueske, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2708 S Rife Medical Ln Ste 300, Rogers, AR 72758 Phone: 479-338-3030 Fax: 479-338-3079 | |
Paige Lauren Davis, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2708 S Rife Medical Ln Ste 300, Rogers, AR 72758 Phone: 479-338-3030 Fax: 479-338-3079 | |
Mrs. Leah Marie Cossey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1194 W Walnut St, Rogers, AR 72756 Phone: 479-878-2550 Fax: 479-878-2555 | |
Annelise Cook, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1233 W Poplar St, Rogers, AR 72756 Phone: 479-636-9235 | |
Staci Herndon Gathright, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2708 Rife Medical Lane, Suite 130, Rogers, AR 72758 Phone: 479-338-5555 Fax: 479-338-5533 | |
Walker Dyer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 S 42nd St, Ste 100, Rogers, AR 72758 Phone: 479-273-9173 Fax: 479-464-9989 | |
Starry Taylor Hubbell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2708 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-3030 |