Individual provider Active NPI

Janice Williams, APN

  • Family Nurse Practitioner
  • Bentonville, AR
National Provider Identifier
1013278167
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A03711 Issued in AR
Practice address
1000 SE 13TH CT
Bentonville, AR 72712-7857
Phone
(479) 273-9056
Fax
(479) 273-6937
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A03711 AR Primary

Addresses

Primary practice location

1000 SE 13TH CT
Bentonville, AR 72712-7857

Mailing address

1000 SE 13TH CT
Bentonville, AR 72712-7857
Phone (479) 273-9056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120718000800 AR Practitioner - Nurse Practitioner 8527224500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Northwest Arkansas CommunitiesGroup PAC ID 0648177873, 314 clinicians
Ozarks Primary Care PlusGroup PAC ID 7012447808, 2 clinicians

Practice addresses (Care Compare)

3101 SE 14TH St
Bentonville, AR 72712-4900
Phone (479) 631-2100

701 S Horsebarn Rd
Suite 100
Rogers, AR 72758-8796
Phone (479) 685-9809

8703 W Migration Way
Bentonville, AR 72713-2162

Hospital & facility affiliations

  • Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A03711ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Primary Care Plus CurrentSince Jan 1, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Dec 9, 2012 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Dec 9, 2012 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

1000 SE 13th Ct
Bentonville, AR 72712
Phone (479) 273-9056

701 S Horsebarn Rd
Ste 100
Rogers, AR 72758
Phone (479) 202-2820

Interoperability endpoints

  • Direct secure messaging: jwilliams290581@directc.mercy.net
  • Direct secure messaging: janice.williams@902476673777668.direct.elationemr.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1013278167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SE 13TH CT",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127857",
            "telephone_number": "479-273-9056",
            "fax_number": "479-273-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SE 13TH CT",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127857",
            "telephone_number": "479-273-9056",
            "fax_number": "479-273-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JANICE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.