Active NPI
Anne M Mwenda, NP
- Gerontology Nurse Practitioner
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- A004635
- Practice address
- 5800 W 10TH St FL 6
Little Rock, AR 72204-1752 - Phone
- (501) 686-5838
- Fax
- (501) 603-1539
- NPI assigned
- Jan 27, 2016
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | A004635 | AR | Primary |
Addresses
Primary practice location
5800 W 10TH St FL 6
Little Rock, AR 72204-1752
Mailing address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000
Other practice location 1
8060 Counts Massie Rd
Maumelle, AR 72113-6657
Phone (501) 791-0198
Other practice location 2
4301 W Markham St # 54720
Little Rock, AR 72205-7101
Phone (501) 686-5838
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
- University of South Alabama College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1202 NE McClain Rd
BLDG 7
Bentonville, AR 72712-3875
Phone (203) 901-2493
4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 686-8000
Hospital & facility affiliations
- University of Arkansas Medical Sciences
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Venvisor Health of Ar PA | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Chess Medicine PLLC | Gerontology | Past | Accepting new patients |
| Icarepro of Texas, PA | Past | Accepting new patients |
Locations
1202 NE McClain Rd
Bentonville, AR 72712
Phone (479) 278-4323
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
#54720
Little Rock, AR 72205
Phone (501) 686-5838
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
-
- Nurse Practitioner
- Bentonville, AR
- NPI 1992553028
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
- General Practice Dentistry
- Little Rock, AR
- NPI 1760843247
-
- Geriatric Medicine (Internal Medicine) Physician
- Montebello, NY
- NPI 1699385021
Gerontology
-
- Clinical Nurse Specialist
- Texarkana, TX
- NPI 1396193066
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1477549756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1780041319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 783",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 W 10TH ST FL 6",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722041752",
"telephone_number": "501-686-5838",
"fax_number": "501-603-1539"
}
],
"practiceLocations": [
{
"address_1": "8060 Counts Massie Rd",
"address_purpose": "LOCATION",
"city": "Maumelle",
"state": "AR",
"postal_code": "721136657",
"country_code": "US",
"telephone_number": "501-791-0198",
"fax_number": "501-315-1720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 W Markham St # 54720",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-686-5838",
"fax_number": "501-603-1539",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MWENDA",
"first_name": "ANNE",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-27",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AR",
"license": "A004635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.