Active NPI
Boone Wilford, APRN
- Nurse Practitioner
- Mountain Home, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 221970
- Practice address
- 639 Hospital Dr
Mountain Home, AR 72653-2914 - Phone
- (479) 587-1700
- Fax
- (479) 587-1366
- NPI assigned
- Feb 4, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61495401 | WA | |
| Nurse Practitioner | 363L00000X | 2015001252 | MO | |
| Nurse Practitioner | 363L00000X | 221970 | AR | Primary |
Addresses
Primary practice location
639 Hospital Dr
Mountain Home, AR 72653-2914
Mailing address
3901 Parkway Cir
Springdale, AR 72762-6362
Phone (479) 587-1700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487044962 | Medicaid | MO | |
| 420020610 | Medicaid | MO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
639 Hospital Dr
Mountain Home, AR 72653-2914
Phone (479) 587-1700
Hospital & facility affiliations
- Baxter Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.14 of 100
- Quality
- 86.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highlands Oncology Group PA | Current | Accepting new patients | |
| Highlands Oncology Group, PA | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
3232 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 695-1199
639 Hospital Dr
Mountain Home, AR 72653
Phone (870) 624-1084
Interoperability endpoints
- boone.wilford@cernerdirect.coxhealth.com
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 and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Springdale, AR
- NPI 1346211323
-
- Community/Retail Pharmacy
- MTN Home, AR
- NPI 1487373197
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1033147921
-
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1881788933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1487044962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 PARKWAY CIR",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727626362",
"telephone_number": "479-587-1700",
"fax_number": "479-587-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "639 HOSPITAL DR",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532914",
"telephone_number": "479-587-1700",
"fax_number": "479-587-1366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILFORD",
"first_name": "BOONE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-04",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61495401",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2015001252",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "221970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487044962",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "420020610",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.