Individual provider Active NPI

William Alan Maxwell-Walker, APRN

  • Family Nurse Practitioner
  • Russellville, AR
National Provider Identifier
1215454178
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005334 Issued in AR
Practice address
511 W Main St
Russellville, AR 72801-3601
Phone
(479) 223-5130
Fax
(479) 567-5342
NPI assigned
Aug 23, 2017
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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 A005334 AR Primary

Addresses

Primary practice location

511 W Main St
Russellville, AR 72801-3601

Mailing address

1601 N. Church
Atkins, AR 72823
Phone (479) 641-2255

Other practice location 1

232 Rachel Cir
Russellville, AR 72802-8683
Phone (479) 970-7423

Other names 1

  • William Alan Walker Former name

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
I20171121001087 AR Practitioner - Nurse Practitioner 9739446113 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

106 Weir Rd
Suite 4
Russellville, AR 72802-9409
Phone (479) 567-5652

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005334ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Regional Medical Center Inc CurrentSince Jan 1, 2026 Accepting new patients
Monfee Medical Clinic CurrentSince Feb 6, 2026 Accepting new patients
Conway Regional Medical Center, Inc CurrentSince Jan 1, 2026 Accepting new patients
The Kirkland Family Medical Center, PA CurrentSince Aug 1, 2025 Accepting new patients
Westside Family Clinic LLC Family CurrentSince Feb 6, 2026 Accepting new patients
St Marys Physician Services, LLC Past Accepting new patients

Locations

437 Denison St
Conway, AR 72034
Phone (501) 327-1325

437 Denison St
Ste 2
Conway, AR 72034
Phone (501) 504-2330

1652 State Highway 22 W
Dardanelle, AR 72834
Phone (479) 229-8000

108 Skyline Dr
Russellville, AR 72801
Phone (479) 968-7170

3812 W Main St
Russellville, AR 72801
Phone (479) 968-1245

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDAJAD
  • Direct secure messaging: william.maxwell-walker.1@2110.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1215454178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N. CHURCH",
            "city": "ATKINS",
            "state": "AR",
            "postal_code": "72823",
            "telephone_number": "479-641-2255",
            "fax_number": "479-641-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013601",
            "telephone_number": "479-223-5130",
            "fax_number": "479-567-5342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232 Rachel Cir",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728028683",
            "country_code": "US",
            "telephone_number": "479-970-7423",
            "fax_number": "404-585-2688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL-WALKER",
        "first_name": "WILLIAM",
        "middle_name": "ALAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "WALKER",
            "middle_name": "ALAN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.