Individual provider Active NPI

Morgan Wilkerson

  • Nurse Practitioner
  • Vilonia, AR
National Provider Identifier
1164069969
Registry record updated Nov 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
121826 Issued in AR
Practice address
41 Weaver Cir
Vilonia, AR 72173-9014
Phone
(501) 581-9561
NPI assigned
Nov 30, 2019
Last updated
Nov 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 121826 AR Primary

Addresses

Primary practice location

41 Weaver Cir
Vilonia, AR 72173-9014

Mailing address

41 Weaver Cir
Vilonia, AR 72173-9014
Phone (501) 581-9561

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
I20200623001618 AR Practitioner - Nurse Practitioner 4284056185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arkansas Neurosurgery Brain and Spine Clinic P.a.Group PAC ID 0345281663, 8 clinicians

Practice addresses (Care Compare)

8201 Cantrell Rd
Suite 265
Little Rock, AR 72227-2347
Phone (501) 661-0077

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Neurosurgery Brain & Spine Clinic P.a. CurrentSince May 15, 2020 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Nov 19, 2022 Accepting new patients

Locations

8201 Cantrell Rd
Ste 265
Little Rock, AR 72227
Phone (501) 225-3333

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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": "1575072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575072000000",
    "number": "1164069969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WEAVER CIR",
            "city": "VILONIA",
            "state": "AR",
            "postal_code": "721739014",
            "telephone_number": "501-581-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WEAVER CIR",
            "city": "VILONIA",
            "state": "AR",
            "postal_code": "721739014",
            "telephone_number": "501-581-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "MORGAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-30",
        "last_updated": "2019-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "121826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vilonia, AR

Sources for this page

Verify at the official NPI Registry.