Elizabeth Leanne Wallis, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A01706 Issued in AR

Practice address

110 Medical Cir
Nashville, AR 71852-8606

Phone

(870) 845-6060

NPI assigned

Jan 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Howard Memorial Hospital 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Home Health Home health agency, Nashville, AR, CCN 047138
• Howard Memorial Hospital Hospital, Nashville, AR, CCN 041311
• Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/howard-9d20da0d
• Direct secure messaging: elizabeth.wallis@hmhmc.eclinicaldirectplus.com

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.

• Howard Memorial Hospital

  • Family Medicine Physician
  • Nashville, AR
  • NPI 1467852210

  AR

  Medicare reassignment Care Compare group NPD
• Family Medical Associates, P.a.

  • Family Medicine Physician
  • Ashdown, AR
  • NPI 1346274511

  AR

  Medicare reassignment NPD
• Howard Memorial Hospital

  • Clinical Neuropsychologist
  • Nashville, AR
  • NPI 1104282664
  Care Compare group NPD
• Howard Memorial Hospital

  • Surgery Physician
  • Nashville, AR
  • NPI 1215102702
  Care Compare group NPD (past)
• Howard Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Nashville, AR
  • NPI 1578617791
  Care Compare group
• Howard Memorial Hospital

  • Certified Registered Nurse Anesthetist
  • Nashville, AR
  • NPI 1609920370
  Care Compare group
• Howard Memorial Hospital

  • Critical Access Hospital
  • Nashville, AR
  • NPI 1851484695
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Howard Memorial Hospital

  • Critical Access Hospital
  • Nashville, AR
  • NPI 1851484695

  Hospital

  Care Compare affiliation
• Southwest Arkansas Homecare, LLC

  • Home Health Agency
  • Nashville, AR
  • NPI 1881892404
  Care Compare affiliation
• Christus Health Ark-la-Tex

  • General Practice Physician
  • Texarkana, TX
  • NPI 1184623266

  Hospital

  Care Compare affiliation
• Christus Health Ark-la-Tex

  • General Acute Care Hospital
  • Texarkana, TX
  • NPI 1295736734

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1740528546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MEDICAL CIR",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718528606",
            "telephone_number": "870-845-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MEDICAL CIR",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718528606",
            "telephone_number": "870-845-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIS",
        "first_name": "ELIZABETH",
        "middle_name": "LEANNE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A01706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Velasco
• Cynthia Villeda
• Amber Wagner, MS-CCC-SLP
• Regan Wakefield
• Deborah Wallis, LAC
• Linzi Wallis
• Walmart Inc.
• Annette Fay Wannamaker, LPN
• Jane A. Watts, O.T.R./L
• Telly Wells

• All providers in Nashville, AR
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.

Verify at the official NPI Registry.