Individual provider Active NPI

Ellen Weseli Ward, APRN

  • Family Nurse Practitioner
  • Salem, AR
National Provider Identifier
1104478585
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
121432 Issued in AR
Practice address
106 Highway 62 W
Salem, AR 72576-8059
Phone
(870) 895-2015
Fax
(870) 895-2164
NPI assigned
Jul 15, 2019
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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 121432 AR Primary

Addresses

Primary practice location

106 Highway 62 W
Salem, AR 72576-8059

Mailing address

101 W Main St
Hardy, AR 72542-9566

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
I20190808003450 AR Practitioner - Nurse Practitioner 5092042382 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bradley Bibb MD PLLCGroup PAC ID 4789715285, 71 clinicians

Practice addresses (Care Compare)

104 W State St
Caraway, AR 72419-8553
Phone (870) 895-2015

106 N Van Buren St
Weiner, AR 72479-9289
Phone (870) 605-0014

11005 Heber Springs Rd N
Concord, AR 72523-9561
Phone (844) 291-4901

1176 State Hwy 22 W B
AMC Dardanelle
Dardanelle, AR 72834-3006
Phone (479) 229-3004

1308 E Page Ave
Malvern, AR 72104-4518
Phone (501) 337-9820

16723 Hwy 62
Garfield, AR 72732-7007
Phone (870) 219-7706

1713 W Main St
Heber Springs, AR 72543-2835
Phone (870) 219-7706

217 N Main St
Rison, AR 71665-8856
Phone (870) 219-7706

2280 E Main St
El Dorado, AR 71730-6526
Phone (870) 895-2015

291 W Main St
Lamar, AR 72846-8195
Phone (479) 703-5000

3519 Hwy 63
Black Rock, AR 72415-9022
Phone (870) 878-4005

405 W 16TH St
Hope, AR 71801-7104
Phone (870) 994-7301

4196 Hwy 62 412
Suite a
Hardy, AR 72542-8002
Phone (870) 994-7301

451 Phillips St
West Fork, AR 72774-2813
Phone (479) 294-6085

810 S Rock St
Sheridan, AR 72150-7066
Phone (870) 994-7301

871 W Main St
Booneville, AR 72927-3420
Phone (870) 219-7706

9217 N Hwy
Cedarville, AR 72932
Phone (479) 262-2244

942 Hwy 65 N
Marshall, AR 72650-7772
Phone (888) 518-1418

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121432ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Bibb MD PLLC CurrentSince Nov 16, 2020 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Dec 15, 2023 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Jul 16, 2019 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Jul 16, 2019 Accepting new patients
Bradley Bibb MD PLLC CurrentSince Nov 16, 2020 Accepting new patients
Bradley Bibb MD PLLC Current Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Dec 15, 2023 Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Bradley Bibb MD PLLC Past Accepting new patients

Locations

49 Highway 62 412
Ste 412
Ash Flat, AR 72513

201 S Bay Dr
Bay, AR 72411
Phone (870) 770-1920

3519 Highway 63
Black Rock, AR 72415
Phone (870) 878-4005

10144 Highway 63 N
#A
Bono, AR 72416
Phone (870) 520-6069

444 Taylor Cir
Cave City, AR 72521
Phone (870) 376-2844

806 E Main St
Flippin, AR 72634
Phone (870) 219-7706

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

20 Wilson Farm Rd
Greenbrier, AR 72058
Phone (501) 679-8970

101 W Main St
Hardy, AR 72542
Phone (870) 856-2100

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

202 Newsome Dr
Marked Tree, AR 72365
Phone (870) 358-4355

106 Highway 62 W
Salem, AR 72576
Phone (870) 895-2762

3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080

106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014

Interoperability endpoints

  • Direct secure messaging: ellen.ward.1@22235.direct.athenahealth.com
  • Direct secure messaging: ellen.ward.1@2424.direct.athenahealth.com

Organizations & group practices 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1104478585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725429566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HIGHWAY 62 W",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "725768059",
            "telephone_number": "870-895-2015",
            "fax_number": "870-895-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "ELLEN",
        "middle_name": "WESELI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "121432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, AR

Sources for this page

Verify at the official NPI Registry.