Individual provider Active NPI

Ronette Wise, APN

  • Family Nurse Practitioner
  • Paragould, AR
National Provider Identifier
1750391082
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A003308 Issued in AR
Practice address
5 Market PL
Paragould, AR 72450-3555
Phone
(870) 236-4001
Fax
(870) 236-4009
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R33433 AR
Family Nurse Practitioner 363LF0000X A003308 AR Primary

Addresses

Primary practice location

5 Market PL
Paragould, AR 72450-3555

Mailing address

5 Market PL
Paragould, AR 72450-3555
Phone (870) 236-4001

Other identifiers 3

IdentifierTypeStateIssuer
A003308OtherARARKANSAS STATE BOARD OF NURSING
P00897OtherARRNP
R33433OtherARRN 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071106000144 AR Practitioner - Nurse Practitioner 6800983917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragould Family Care, P. a.Group PAC ID 2860789286, 5 clinicians

Practice addresses (Care Compare)

5 Market PL
Paragould, AR 72450-3555
Phone (870) 236-4001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R33433ARMDRegistered Nurse
A003308ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragould Family Care, P. a. CurrentSince Feb 1, 2025 Accepting new patients
Family Practice Clinic of Paragould CurrentSince Feb 28, 2010 Accepting new patients
Hendrix Medical Services PLLC PastSince Feb 28, 2010 Accepting new patients

Locations

5 Market Pl
Paragould, AR 72450
Phone (870) 236-4001

1015 W Kingshighway
Paragould, AR 72450
Phone (870) 239-4076

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBGAAA

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1750391082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MARKET PL",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724503555",
            "telephone_number": "870-236-4001",
            "fax_number": "870-236-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MARKET PL",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724503555",
            "telephone_number": "870-236-4001",
            "fax_number": "870-236-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "RONETTE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R33433",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE BOARD OF NURSING",
            "identifier": "A003308",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RNP",
            "identifier": "P00897",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "R33433",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.