Individual provider Active NPI

Anna Katherine Ross, APN

  • Family Nurse Practitioner
  • Bryant, AR
National Provider Identifier
1235655531
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005275 Issued in AR
Practice address
3345 Hwy 5 N Ste 300
Bryant, AR 72019-9031
Phone
(501) 521-1100
NPI assigned
Aug 17, 2017
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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 A005275 AR Primary

Addresses

Primary practice location

3345 Hwy 5 N Ste 300
Bryant, AR 72019-9031

Mailing address

3345 Hwy 5 N Ste 300
Bryant, AR 72019-9031
Phone (501) 521-1100

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
I20190129000444 AR Practitioner - Nurse Practitioner 2365700812 Reassigns benefits to 1 organization

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
Anna Katherine Wilkerson MSN Apn PAGroup PAC ID 8224436902, 2 clinicians

Practice addresses (Care Compare)

3345 Hwy 5 N
Suite 300
Bryant, AR 72019-9031
Phone (501) 521-1100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Katherine Wilkerson MSN Apn PA CurrentSince Jun 26, 2021 Accepting new patients

Locations

2405 Highway 5 N
#100
Benton, AR 72019

3345 Highway 5 N
Ste 300
Bryant, AR 72019
Phone (501) 521-1100

Interoperability endpoints

  • Direct secure messaging: anna.ross.1@22635.direct.athenahealth.com

Organizations & group practices 1

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": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1235655531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 HWY 5 N STE 300",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720199031",
            "telephone_number": "501-521-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 HWY 5 N STE 300",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720199031",
            "telephone_number": "501-521-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ANNA",
        "middle_name": "KATHERINE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

Verify at the official NPI Registry.