Individual provider Active NPI

Casey Renee Wilson, APRN

  • Family Nurse Practitioner
  • El Dorado, AR
National Provider Identifier
1770048084
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A006064 Issued in AR
Practice address
209 Thompson Ave # 2
El Dorado, AR 71730-5755
Phone
(870) 864-0333
NPI assigned
Jan 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A006064 AR Primary

Addresses

Primary practice location

209 Thompson Ave # 2
El Dorado, AR 71730-5755

Mailing address

209 Thompson Ave # 2
El Dorado, AR 71730-5755
Phone (870) 864-0333

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
I20200219000888 AR Practitioner - Nurse Practitioner 1759718497 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Casey Wilson, NP LLC Family Current Accepting new patients
Pallicare, Inc CurrentSince Dec 16, 2025 Accepting new patients
Greg Smart Family Practice PastSince Jan 5, 2020 Accepting new patients

Locations

209 Thompson Ave
#2
El Dorado, AR 71730
Phone (870) 864-0333

209 Thompson Ave
Ste 2
El Dorado, AR 71730
Phone (870) 864-0333

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1770048084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 THOMPSON AVE # 2",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717305755",
            "telephone_number": "870-864-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 THOMPSON AVE # 2",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717305755",
            "telephone_number": "870-864-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CASEY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A006064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.