Individual provider Active NPI

Anna Prewitt, APRN

  • Family Nurse Practitioner
  • Maumelle, AR
National Provider Identifier
1487440053
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
234878 Issued in AR
Practice address
2001 Club Manor Dr
Maumelle, AR 72113-7777
Phone
(501) 734-8085
NPI assigned
Apr 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 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 234878 AR Primary

Addresses

Primary practice location

2001 Club Manor Dr
Maumelle, AR 72113-7777

Mailing address

2001 Club Manor Dr
Maumelle, AR 72113-7777
Phone (501) 734-8085

Other names 1

  • Anna Standridge Former name

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
I20251107002468 AR Practitioner - Nurse Practitioner 3870083892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2001 Club Manor Dr
Suite S
Maumelle, AR 72113-7411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234878ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maumelle Family Medicine, LLC Family CurrentSince Sep 30, 2025 Accepting new patients

Locations

2001 Club Manor Dr
Ste S
Maumelle, AR 72113
Phone (501) 350-8505

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1487440053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CLUB MANOR DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137777",
            "telephone_number": "501-734-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CLUB MANOR DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137777",
            "telephone_number": "501-734-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREWITT",
        "first_name": "ANNA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "234878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "STANDRIDGE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maumelle, AR

Sources for this page

Verify at the official NPI Registry.