Allysa Mayo, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

227944 Issued in AR

Practice address

2425 Prince St Ste 3
Conway, AR 72034-3701

Phone

(940) 390-5116

NPI assigned

Mar 22, 2024

Last updated

Mar 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JFICCD

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.

• Central Arkansas Advanced Nerve and Joint Centers LLC

  • Nurse Practitioner
  • Conway, AR
  • NPI 1861223794
  Medicare reassignment NPD
• Ivx Health of Arkansas, Inc.

  dba IVX Health

  • Clinic/Center
  • Lowell, AR
  • NPI 1356072623
  Medicare reassignment NPD
• Prestige Spine Interventional Pain Management, LLC

  • Interventional Pain Medicine Physician
  • Conway, AR
  • NPI 1265044119
  Medicare reassignment NPD

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1114777257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ASPEN CREEK DR",
            "city": "VILONIA",
            "state": "AR",
            "postal_code": "721739051",
            "telephone_number": "940-390-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 PRINCE ST STE 3",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343701",
            "telephone_number": "940-390-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "ALLYSA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "227944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Michelle Maxwell, PHARMD
• Allison Gaynell May
• Tara Camille May, M.S., CCC-SLP
• Teresa May, MHPP
• Felicia Mayfield, CMP
• Jerry Mayo, PHD, RDN
• Kathy Ann Mayo, PHARM.D.
• Vincent Mays, MHPP
• Caroline Duos Mazoch, M.D.
• James Thomas Mazzo

• Family Nurse Practitioner in Conway, AR
• Providers in Conway, 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 Mar 22, 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.