Individual provider Active NPI

Wendy Michelle Ray, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Warren, AR
National Provider Identifier
1306455860
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
123955 Issued in AR
Practice address
1012 E Church St Ste a
Warren, AR 71671-3530
Phone
(870) 226-6754
NPI assigned
Jul 29, 2020
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 123955 AR Primary

Addresses

Primary practice location

1012 E Church St Ste a
Warren, AR 71671-3530

Mailing address

342 Highway 425 S
Monticello, AR 71655-4612
Phone (870) 942-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wendy.ray@mhsi.eclinicaldirectplus.com

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
I20200826000360 AR Practitioner - Nurse Practitioner 6608293477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainline Health Systems IncGroup PAC ID 5193785590, 55 clinicians

Practice addresses (Care Compare)

1012 E Church St
Suite B
Warren, AR 71671-3530
Phone (870) 226-6754

535 Jordan Dr
Monticello, AR 71655-5714
Phone (870) 367-6246

579 E Beouff St
Eudora, AR 71640-3090
Phone (870) 355-2512

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123955ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainline Health Systems, Inc Current Accepting new patients
Mainline Health Systems, Inc CurrentSince Jun 29, 2020 Accepting new patients
Mainline Health Systems, Inc CurrentSince Jun 29, 2020 Accepting new patients

Locations

300 S School St
Dermott, AR 71638
Phone (870) 538-3355

579 E Beouff St
Eudora, AR 71640
Phone (870) 355-2512

250 University Dr
Monticello, AR 71655
Phone (479) 957-9685

342 Highway 425 S
Monticello, AR 71655
Phone (870) 723-4145

535 Jordan Dr
Monticello, AR 71655
Phone (870) 367-6246

1012 E Church St
Ste B
Warren, AR 71671
Phone (870) 226-6786

210 Scoby Dr
Warren, AR 71671

Organizations & group practices 3

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": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1306455860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HIGHWAY 425 S",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554612",
            "telephone_number": "870-942-3000",
            "fax_number": "870-942-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E CHURCH ST STE A",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716713530",
            "telephone_number": "870-226-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "WENDY",
        "middle_name": "MICHELLE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "123955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wendy.ray@mhsi.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1012 E Church St Ste A",
            "city": "Warren",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716713530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, AR

Sources for this page

Verify at the official NPI Registry.