Individual provider Active NPI

Teresa Michelle Whitwell, APRN

  • Family Nurse Practitioner
  • Perryville, AR
National Provider Identifier
1427416254
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004604 Issued in AR
Practice address
1016 N Fourche Ave
Perryville, AR 72126-8545
Phone
(501) 238-1284
NPI assigned
Feb 8, 2016
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 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 A004604 AR Primary

Addresses

Primary practice location

1016 N Fourche Ave
Perryville, AR 72126-8545

Mailing address

4196 Highway 62 412 Ste a
Hardy, AR 72542-8002

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
I20160408001498 AR Practitioner - Nurse Practitioner 4981902889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ih Physician Services 2 PCGroup PAC ID 6800388927, 7 clinicians
Venvisor Health of Ar PAGroup PAC ID 8022551647, 55 clinicians

Practice addresses (Care Compare)

Little Rock, AR 72205
Phone (501) 435-1043

1202 NE McClain Rd
BLDG 7
Bentonville, AR 72712-3875
Phone (203) 901-2493

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health CurrentSince Jan 4, 2022 Accepting new patients
Baptist Health CurrentSince Jan 4, 2022 Accepting new patients
Venvisor Health of Ar PA CurrentSince Sep 17, 2025 Accepting new patients
St Vincent Physician Clinics LLC Family Past Accepting new patients
Sleep Centers of Arkansas PastSince Sep 26, 2016 Accepting new patients

Locations

1202 NE McClain Rd
Bentonville, AR 72712
Phone (855) 632-6940

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

11001 Executive Center Dr
Ste 300
Little Rock, AR 72211
Phone (501) 202-6043

11900 Colonel Glenn Rd
Ste 2100
Little Rock, AR 72210
Phone (501) 202-6043

9500 Kanis Rd
Ste 410
Little Rock, AR 72205
Phone (501) 202-1500

Organizations & group practices 6

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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1427416254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 N FOURCHE AVE",
            "city": "PERRYVILLE",
            "state": "AR",
            "postal_code": "721268545",
            "telephone_number": "501-238-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITWELL",
        "first_name": "TERESA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryville, AR

Sources for this page

Verify at the official NPI Registry.