Individual provider Active NPI

Erica Dawn Wiebe, M.D.

  • Developmental - Behavioral Pediatrics Physician
  • Springdale, AR
National Provider Identifier
1164733440
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
E-20227 Issued in AR
Practice address
2575 Gene George Blvd Ste 100
Springdale, AR 72762-3180
Phone
(479) 750-0125
Fax
(479) 750-0323
NPI assigned
Jul 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E-20227 AR
Allergy & Immunology Physician 207K00000X 2010017748 MO
Developmental - Behavioral Pediatrics Physician 2080P0006X 036141017 IL
Developmental - Behavioral Pediatrics Physician 2080P0006X E-20227 AR Primary

Addresses

Primary practice location

2575 Gene George Blvd Ste 100
Springdale, AR 72762-3180

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 1

1701 W. Curtis Rd.
Pediatrics
Champaign, IL 61822-9678
Phone (217) 365-6202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160825000095 IL Practitioner - Pediatric Medicine 9931494267 Reassigns benefits to 3 organizations
I20260115002155 AR Practitioner - Pediatric Medicine 9931494267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Missouri, Columbia School of Medicine, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4301 W Markam St
Little Rock, AR 72205-7101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2010017748MOMDAllergy & Immunology Physician
E-20227ARMDPediatrics Physician
036141017ILMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoopeston Community Memorial Hospital CurrentSince Jul 27, 2017 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Sep 20, 2021 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
University of Arkansas for Medical Sciences Developmental - Behavioral Pediatrics CurrentSince Jan 10, 2026 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Carle Health Care Incorporated CurrentSince Aug 9, 2016 Accepting new patients
Richland Memorial Hospital, Inc. CurrentSince Sep 20, 2021 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 10, 2026 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
University of Arkansas for Medical Sciences Pediatrics Past Accepting new patients
University of Arkansas for Medical Sciences Pediatrics Past Accepting new patients

Locations

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

4301 W Markham St
Ste 528
Little Rock, AR 72205

4301 W Markham St
#528
Little Rock, AR 72205
Phone (501) 614-2006

1701 Curtis Rd
Champaign, IL 61822
Phone (217) 365-6201

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1164733440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 GENE GEORGE BLVD STE 100",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727623180",
            "telephone_number": "479-750-0125",
            "fax_number": "479-750-0323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 W. Curtis Rd.",
            "address_2": "Pediatrics",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618229678",
            "country_code": "US",
            "telephone_number": "217-365-6202",
            "fax_number": "217-326-0188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEBE",
        "first_name": "ERICA",
        "middle_name": "DAWN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-20227",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MO",
            "license": "2010017748",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "IL",
            "license": "036141017",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "AR",
            "license": "E-20227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.