Andrew Woolfley, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

220774 Issued in AR

Practice address

50 Highway 79 Byp N Ste C
Magnolia, AR 71753-3278

Phone

(870) 234-7435

Fax

(870) 234-7476

NPI assigned

Jun 21, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Associates LLCGroup PAC ID 3476818378, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Urgent Care Associates LLC

  • Urgent Care Clinic/Center
  • Magnolia, AR
  • NPI 1790291797
  Medicare reassignment Care Compare group NPD
• Chester Wynn MD PA

  • General Practice Physician
  • Magnolia, AR
  • NPI 1255058822
  NPD

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1033840988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HIGHWAY 79 BYP N STE C",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533278",
            "telephone_number": "870-234-7435",
            "fax_number": "870-234-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HIGHWAY 79 BYP N STE C",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533278",
            "telephone_number": "870-234-7435",
            "fax_number": "870-234-7476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 W Stadium",
            "address_purpose": "LOCATION",
            "city": "Magnolia",
            "state": "AR",
            "postal_code": "717532070",
            "country_code": "US",
            "telephone_number": "870-234-6191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOLFLEY",
        "first_name": "ANDREW",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "220774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291143758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terries Wilson
• Shuron Witcher
• Corban Wood
• Dylan Wood
• Madison Reed Woodard, RN
• WPM Community Pharmacies LLC
• Erin Wright
• Marcus Bradley Wyatt, ATC
• Chester M Wynn, M.D.
• Michael Jude Yambot, M.D.

• Family Nurse Practitioner in Magnolia, AR
• Providers in Magnolia, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.

Verify at the official NPI Registry.