Individual provider Active NPI

Jessie Elizabeth Wampler

  • Internal Medicine Physician
  • McCrory, AR
National Provider Identifier
1568102069
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E20144 Issued in AR
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260325004080 AR Practitioner - Internal Medicine 8325523533 Reassigns benefits to 2 organizations

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
Cache River Medical ClinicGroup PAC ID 6709288681, 2 clinicians

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

LicenseStateTypeSpecialty
E20144ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cache River Medical Clinic CurrentSince Mar 19, 2026 Accepting new patients

Locations

115 W Kimberly
McCrory, AR 72101
Phone (870) 731-0640

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.