Active NPI
Mary Michelle Wegner, MD
- Psychiatry Physician
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- E4222
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| E4222 | AR | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Arkansas Community Mental Health Center Inc | Current | Accepting new patients | |
| Northeast Arkansas Community Mental Health Center Inc | Current | Accepting new patients | |
| Turnwell Mental Health of South Dakota, PC | Psychiatry | Current | Accepting new patients |
| Arisa Health, Inc. | Psychiatry | Current | Accepting new patients |
| Midwest Wellness Institute, PLLC | Current | Accepting new patients | |
| Arisa Health, Inc. | Current | Accepting new patients | |
| Arisa Health, Inc. | Current | 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.
-
- Psychiatry Physician
- Sioux Falls, SD
- NPI 1720850183
Psychiatry, SD
-
- Community/Behavioral Health Agency
- Jonesboro, AR
- NPI 1336118207
AR
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1851729552
SD
-
- Community/Behavioral Health Agency
- Jonesboro, AR
- NPI 1306532767
-
- Family Medicine Physician
- Jonesboro, AR
- NPI 1760187413
-
- Community/Behavioral Health Agency
- Helena, AR
- NPI 1770803090
-
- Social Worker
- Hiawatha, KS
- NPI 1619909181
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.