Individual provider Active NPI

Mary Michelle Wegner, MD

  • Psychiatry Physician
  • Jonesboro, AR
National Provider Identifier
1013983071
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E4222 Issued in AR
Practice address
2707 Browns LN
Jonesboro, AR 72401-7213
Phone
(870) 972-4961
Fax
(870) 972-4088
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E4222 AR Primary

Addresses

Primary practice location

2707 Browns LN
Jonesboro, AR 72401-7213

Mailing address

2707 Browns LN
Jonesboro, AR 72401-7213
Phone (870) 972-4961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, SD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050110001187 AR Practitioner - Psychiatry 6800883513 Reassigns benefits to 2 organizations
I20240708002220 SD Practitioner - Psychiatry 6800883513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Sanford School of Medicine of University of South Dakota, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Turnwell Mental Health of South Dakota, PC 30 clinicians

Practice addresses (Care Compare)

4308 S Arway Dr
Sioux Falls, SD 57106-3131
Phone (605) 573-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E4222ARMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Arkansas Community Mental Health Center Inc Current Accepting new patients
Northeast Arkansas Community Mental Health Center Inc CurrentSince Nov 17, 2019 Accepting new patients
Turnwell Mental Health of South Dakota, PC Psychiatry CurrentSince May 15, 2024 Accepting new patients
Arisa Health, Inc. Psychiatry Current Accepting new patients
Midwest Wellness Institute, PLLC CurrentSince May 15, 2024 Accepting new patients
Arisa Health, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Arisa Health, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Kanza Mental Health and Guidance Center, Inc. Past Accepting new patients

Locations

2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000

28 Southpointe Dr
Paragould, AR 72450
Phone (870) 239-2244

2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115

102 SW Larkspur Dr
Walnut Ridge, AR 72476
Phone (870) 886-7924

4308 S Arway Dr
Sioux Falls, SD 57106
Phone (507) 220-1585

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013983071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017213",
            "telephone_number": "870-972-4961",
            "fax_number": "870-972-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017213",
            "telephone_number": "870-972-4961",
            "fax_number": "870-972-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGNER",
        "first_name": "MARY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E4222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.