Individual provider Active NPI

Alexis Nicole Gunnels, APRN

  • Family Nurse Practitioner
  • Wynne, AR
National Provider Identifier
1407450539
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
213369 Issued in AR
Practice address
411 Falls Blvd S
Wynne, AR 72396-3501
Phone
(870) 238-3261
NPI assigned
Nov 30, 2020
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 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 213369 AR Primary

Addresses

Primary practice location

411 Falls Blvd S
Wynne, AR 72396-3501

Mailing address

411 Falls Blvd S
Wynne, AR 72396-3501
Phone (870) 238-3261

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
I20210106002151 AR Practitioner - Nurse Practitioner 5193138444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3550 Springhill Dr
North Little Rock, AR 72117-2947
Phone (501) 214-7177

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Aug 25, 2021 Accepting new patients
Arkansas Health Group CurrentSince Aug 25, 2021 Accepting new patients
Arcare PastSince Dec 7, 2020 Accepting new patients

Locations

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

757 E Front St
Lonoke, AR 72086
Phone (501) 266-7265

Organizations & group practices 4

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": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1407450539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 FALLS BLVD S",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723963501",
            "telephone_number": "870-238-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 FALLS BLVD S",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723963501",
            "telephone_number": "870-238-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNNELS",
        "first_name": "ALEXIS",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "213369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynne, AR

Sources for this page

Verify at the official NPI Registry.