Kristy Lynn Wilson, APN in Manila, AR - Medicare Nurse Practitioner

Kristy Lynn Wilson, APN is a medicare enrolled "Nurse Practitioner" in Manila, Arkansas. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northeast Arkansas Clinic Charitable Foundation, Inc. and her current practice location is 3364 W Hwy 18, Manila, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 561-3300.

Kristy Lynn Wilson is licensed to practice in Arkansas (license number A01766) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134143472.

Contact Information

	Kristy Lynn Wilson, APN
	3364 W Hwy 18, Manila, AR 72442-0910
	(870) 561-3300
	(870) 561-3307

Map and Direction

Provider's Profile

Full Name	Kristy Lynn Wilson
Gender	Female
Speciality	Nurse Practitioner
Experience	21 Years
Location	3364 W Hwy 18, Manila, 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.

Medical Education and Training:

Kristy Lynn Wilson graduated from nursing school in 2003

NPI Data:

NPI Number: 1134143472
Provider Enumeration Date: 07/27/2006
Last Update Date: 09/08/2016

Medicare PECOS Information:

PECOS PAC ID: 0345208815
Enrollment ID: I20041230000119

Medical Identifiers

Medical identifiers for Kristy Lynn Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134143472	NPI	-	NPPES
158285758	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	A01766 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Memorial Hospital Jonesboro, Inc.	Jonesboro, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Arkansas Clinic Charitable Foundation, Inc.	2961547526	247

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristy Lynn Wilson allows following entities to bill medicare on her behalf.

Entity Name	T W Wagner Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720183031 PECOS PAC ID: 1153359096 Enrollment ID: O20050830000950

Entity Name	Northeast Arkansas Clinic Charitable Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861721839 PECOS PAC ID: 2961547526 Enrollment ID: O20100315000190

Entity Name	Riverside Medical Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811206923 PECOS PAC ID: 5597944157 Enrollment ID: O20110127001167

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristy Lynn Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kristy Lynn Wilson, APN Po Box 910, Manila, AR 72442-0910 Ph: (870) 561-3300	Kristy Lynn Wilson, APN 3364 W Hwy 18, Manila, AR 72442-0910 Ph: (870) 561-3300

Reviews and Comments

Nurse Practitioner Nurses in Manila, AR

Karley Brooke Moore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3644 W State Highway 18, Manila, AR 72442 Phone: 708-561-3300 Fax: 870-561-3307
Lacey Poe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3644 W St Hwy 18, Suite B, Manila, AR 72442 Phone: 870-561-3300 Fax: 870-561-3307
Angie D Hicks-master, ANP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 920 East Medical Drive, Manila, AR 72442 Phone: 810-570-0358 Fax: 870-570-0359
Morgan Bliss Noble, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3644 Hwy 18 Bypass Ste. B, Manila, AR 72442 Phone: 870-561-3300 Fax: 870-561-3307
Allison Nicole Hitt, ARPN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3644 W Hwy 18, Manila, AR 72442 Phone: 870-974-1110
Amber Michelle Brown, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 E Susan, Manila, AR 72442 Phone: 870-810-1830

Kristy Lynn Wilson, APN - Medicare Nurse Practitioner in Manila, AR