Active NPI
McKenna M Wilkerson, APRN
- Family Nurse Practitioner
- Star City, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 228033
- Practice address
- 110 N Drew St
Star City, AR 71667-5704 - Phone
- (870) 625-5110
- Fax
- (855) 854-6281
- NPI assigned
- Jun 12, 2024
- Last updated
- Mar 30, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 228033 | AR | Primary |
Addresses
Primary practice location
110 N Drew St
Star City, AR 71667-5704
Mailing address
342 Highway 425 S Ste a
Monticello, AR 71655-4612
Phone (870) 942-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 228033 | Other | AR | LICENSE |
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 N Drew St
Star City, AR 71667-5704
Phone (870) 628-5110
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228033 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainline Health Systems, Inc | Current | Accepting new patients | |
| Mainline Health Systems, Inc | Current | Accepting new patients | |
| Mainline Health Systems, Inc | Current | Accepting new patients | |
| Mainline Health Systems, Inc | Past | Accepting new patients |
Locations
300 S School St
Dermott, AR 71638
Phone (870) 538-3355
579 E Beouff St
Eudora, AR 71640
Phone (870) 355-2512
342 Highway 425 S
Ste A
Monticello, AR 71655
535 Jordan Dr
Monticello, AR 71655
Phone (870) 367-6246
110 N Drew St
Star City, AR 71667
Phone (870) 628-5110
400 E Arkansas St
Rm E3
Star City, AR 71667
Phone (650) 419-2810
Organizations & group practices 4
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.
-
dba Mills Middle School
- Federally Qualified Health Center (FQHC)
- Little Rock, AR
- NPI 1164264834
-
dba Warren Middle School BH
- Federally Qualified Health Center (FQHC)
- Warren, AR
- NPI 1710606504
-
dba Mainline Health Magnolia Clinic
- Federally Qualified Health Center (FQHC)
- Magnolia, AR
- NPI 1972464337
-
- Federally Qualified Health Center (FQHC)
- Monticello, AR
- NPI 1669401501
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Jefferson Regional Medical Center
- General Acute Care Hospital
- Pine Bluff, AR
- NPI 1710931985
-
dba Jefferson HomeCare
- Home Health Agency
- White Hall, AR
- NPI 1891972642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1649012360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 HIGHWAY 425 S STE A",
"city": "MONTICELLO",
"state": "AR",
"postal_code": "716554612",
"telephone_number": "870-942-3000",
"fax_number": "870-942-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N DREW ST",
"city": "STAR CITY",
"state": "AR",
"postal_code": "716675704",
"telephone_number": "870-625-5110",
"fax_number": "855-854-6281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKERSON",
"first_name": "MCKENNA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-12",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "228033",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "228033",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Star City, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.