Individual provider Active NPI

Elizabeth Victoria Maechler, APRN

  • Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1134907637
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
223995 Issued in AR
Practice address
7900 Dallas St
Fort Smith, AR 72903-5690
Phone
(479) 242-6647
Fax
(479) 250-0505
NPI assigned
Sep 18, 2023
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 223995 AR Primary
Family Nurse Practitioner 363LF0000X 200663 OK

Addresses

Primary practice location

7900 Dallas St
Fort Smith, AR 72903-5690

Mailing address

7900 Dallas St
Fort Smith, AR 72903-5690
Phone (479) 242-6647

Other identifiers 2

IdentifierTypeStateIssuer
200663OtherOKAPRN
APRNOtherAR223995

Other names 1

  • Elizabeth Victoria Spencer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240112000494 OK Practitioner - Nurse Practitioner 4688025885 Reassigns benefits to 1 organization
I20241012000147 AR Practitioner - Nurse Practitioner 4688025885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Dermatology Center PLLCGroup PAC ID 5799842845, 7 clinicians

Practice addresses (Care Compare)

7900 Dallas St
Fort Smith, AR 72903-5690
Phone (479) 242-6647

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223995ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Jan 1, 2024 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Jan 1, 2024 Accepting new patients
The Dermatology Center PLLC CurrentSince Sep 9, 2024 Accepting new patients
Urgent Team of Arkansas Physicians, LLC PastSince Nov 1, 2023 Accepting new patients
Williams Medical Group Practice, LLC PastSince Oct 21, 2025 Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients
Urgent Team of Arkansas Physicians, LLC PastSince Nov 1, 2023 Accepting new patients

Locations

1500 Dodson Ave
Ste 270
Fort Smith, AR 72901
Phone (479) 573-7800

7900 Dallas St
Fort Smith, AR 72903
Phone (479) 242-6647

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

2525 Chandler Rd
Muskogee, OK 74403
Phone (918) 232-0768

550 W Shawnee St
Muskogee, OK 74401
Phone (908) 910-5186

701 Cedar Lake Blvd
Ste 120
Oklahoma City, OK 73114
Phone (405) 286-1170

701 W Ruth Ave
Sallisaw, OK 74955
Phone (918) 235-6622

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1134907637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 DALLAS ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035690",
            "telephone_number": "479-242-6647",
            "fax_number": "479-250-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 DALLAS ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035690",
            "telephone_number": "479-242-6647",
            "fax_number": "479-250-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAECHLER",
        "first_name": "ELIZABETH",
        "middle_name": "VICTORIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "223995",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "200663",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "200663",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "223995",
            "identifier": "APRN",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SPENCER",
            "middle_name": "VICTORIA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.