Individual provider Active NPI

Amy Marie Wilson, APN

  • Women's Health Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1841380334
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
A001902 Issued in AR
Practice address
5 Saint Vincent Cir Ste 300
Little Rock, AR 72205-5417
Phone
(501) 480-8800
Fax
(501) 480-8815
NPI assigned
Oct 13, 2006
Last updated
Nov 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X A001902 AR Primary

Addresses

Primary practice location

5 Saint Vincent Cir Ste 300
Little Rock, AR 72205-5417

Mailing address

PO Box 649411
Dallas, TX 75264-9411
Phone (501) 480-8800

Other practice location 1

2915 Cypress Rd.
Suite A
Arkadelphia, AR 71923
Phone (870) 403-0299

Other identifiers 1

IdentifierTypeStateIssuer
159004758MedicaidAR

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
I20051227000520 AR Practitioner - Nurse Practitioner 1759303233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Womens Healthcare of Arkansas PLLCGroup PAC ID 1658890595, 48 clinicians

Practice addresses (Care Compare)

500 SE Plaza Ave
Women's Health Associates
Bentonville, AR 72712-3104
Phone (479) 876-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A001902ARMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Urogynecology and Womens Health LLC CurrentSince Sep 27, 2024 Accepting new patients
St Vincent Physician Clinics LLC Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Compassion Women's Clinic PA Past Accepting new patients

Locations

5 Saint Vincent Cir
Ste 300
Little Rock, AR 72205
Phone (501) 480-8800

Interoperability endpoints

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

Organizations & group practices 5

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 2

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1841380334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 649411",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752649411",
            "telephone_number": "501-480-8800",
            "fax_number": "501-480-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SAINT VINCENT CIR STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055417",
            "telephone_number": "501-480-8800",
            "fax_number": "501-480-8815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2915 Cypress Rd.",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Arkadelphia",
            "state": "AR",
            "postal_code": "71923",
            "country_code": "US",
            "telephone_number": "870-403-0299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AR",
            "license": "A001902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159004758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.