Wanda Carol Townsend, APN
Individual provider Active NPI Nurse Practitioner · Pottsville, AR
NPI 1063622652 · NPPES record last updated Oct 19, 2022
Key facts
- NPI
- 1063622652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- A01298 ANP (AR)
- Practice address
- 5150B Sr 247
Pottsville, AR 72858-6002 - Phone
- (795) 675-6794
- Fax
- (479) 567-5680
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5150 A Sr
Suite 247
Pottsville, AR 72858-6002
Phone (479) 567-5680
Hospital & facility affiliations
- St Marys Regional Medical Center
- Conway Regional Medical Center, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121107000254 | AR | Practitioner - Nurse Practitioner | 0244481810 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R27575 | AR | MD | Registered Nurse |
| A01298 ANP | AR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wanda Carol Townsend Aprn, PLLC | Current |
Accepting new patients | |
| Russellville Primary Care Clinic, Inc. | Past | Accepting new patients |
Locations
5150B Sr 247
Pottsville, AR 72858
Phone (479) 567-5680
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R27575 | AR | |
| Nurse Practitioner | 363L00000X | A01298 ANP | AR | Yes |
Addresses
Primary practice location
5150B Sr 247
Pottsville, AR 72858-6002
Mailing address
5150B Sr 247
Pottsville, AR 72858-6002
Phone (479) 567-5679
Other names
- Wanda C Wilbanks
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wanda.townsend.1@24853.direct.athenahealth.com | Direct | |
| Direct Messaging Address | wanda.townsend.1@24853.direct.athenahealth.com | Direct |
Other providers in Pottsville, AR
- Souza-Townsend Family Medical Clinic, PA
- Shannan Deann Souza
- Rachel Stumbaugh
- Superintendent of Pottsville Schools
- Jessica Swartz
- Tranquility Day Spa, Inc.
- Cory D Turco
- Wanda Carol Townsend Aprn, PLLC
All providers in Pottsville, AR · Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.