Active NPI
Jessie Elizabeth Wampler
- Internal Medicine Physician
- McCrory, AR
National Provider Identifier
1568102069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E20144
- Practice address
- 115 W Kimberly
MC Crory, AR 72101-8094 - Phone
- (870) 731-0640
- Fax
- (870) 731-0655
- NPI assigned
- Mar 31, 2022
- Last updated
- Jan 19, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E20144 | AR | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
115 W Kimberly
MC Crory, AR 72101-8094
Mailing address
115 W Kimberly
MC Crory, AR 72101-8094
Phone (870) 731-0640
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 W Kimberly Dr
McCrory, AR 72101-8539
Phone (870) 731-0640
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E20144 | AR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cache River Medical Clinic | Current | Accepting new patients |
Locations
115 W Kimberly
McCrory, AR 72101
Phone (870) 731-0640
Interoperability endpoints
- jessie.wampler@hca3.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- McCrory, AR
- NPI 1780268235
-
dba St Bernards Medical Center
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1396053096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1568102069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W KIMBERLY",
"city": "MC CRORY",
"state": "AR",
"postal_code": "721018094",
"telephone_number": "870-731-0640",
"fax_number": "870-731-0655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W KIMBERLY",
"city": "MC CRORY",
"state": "AR",
"postal_code": "721018094",
"telephone_number": "870-731-0640",
"fax_number": "870-731-0655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAMPLER",
"first_name": "JESSIE",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-31",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E20144",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McCrory, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.