Lindsey N Walley, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E5091 Issued in AR

Practice address

110 N Clifton St
Fordyce, AR 71742-3025

Phone

(870) 352-3525

Fax

(870) 352-3533

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ess of Fordyce LLCGroup PAC ID 1254611601, 4 clinicians

Board of Governors of Dallas County Medical CenterGroup PAC ID 7416869300, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Home Health Home health agency, Fordyce, AR, CCN 047169
• Dallas County Medical Center Hospital, Fordyce, AR, CCN 041317
• Bradley County Medical Center Hospital, Warren, AR, CCN 041327
• Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071
• Ouachita County Medical Center Hospital, Camden, AR, CCN 040050
• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
• St Johns Place of Arkansas, LLC Nursing home, Fordyce, AR, CCN 045396

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• St John'S Place of Arkansas, LLC

  • Skilled Nursing Facility
  • Fordyce, AR
  • NPI 1154541878

  5% Or Greater Direct Ownership Interest, 5% Or Greater Indirect Ownership Interest

  CMS ownership

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.

• Board of Governors of Dallas County Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Fordyce, AR
  • NPI 1043308935

  AR

  Medicare reassignment Care Compare group NPD
• Board of Governors of Dallas County Medical Center

  • Critical Access Hospital
  • Fordyce, AR
  • NPI 1306826029

  AR

  Medicare reassignment Care Compare group NPD
• Ess of Fordyce LLC

  • Emergency Medicine Physician
  • Fordyce, AR
  • NPI 1821547977

  AR

  Medicare reassignment Care Compare group
• Hospital Care Consultants of Fordyce LLC

  • Hospitalist Physician
  • Fordyce, AR
  • NPI 1316497464

  AR

  Medicare reassignment NPD
• Board of Governors of Dallas County Medical Center

  • Rural Health Clinic/Center
  • Fordyce, AR
  • NPI 1346378528
  Care Compare group NPD
• Board of Governors of Dallas County Medical Center

  • Rural Health Clinic/Center
  • Fordyce, AR
  • NPI 1508364241

  Family Medicine

  Care Compare group NPD (past)
• Board of Governors of Dallas County Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Fordyce, AR
  • NPI 1275708885
  Care Compare group

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

• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682

  Hospital

  Care Compare affiliation
• Board of Governors of Dallas County Medical Center

  • Critical Access Hospital
  • Fordyce, AR
  • NPI 1306826029

  Hospital

  Care Compare affiliation
• Bradley County Medical Center

  • Critical Access Hospital
  • Warren, AR
  • NPI 1194741611

  Hospital

  Care Compare affiliation
• Dallas County Medical Center Home Care, LLC

  • Home Health Agency
  • Fordyce, AR
  • NPI 1205546702
  Care Compare affiliation
• Jefferson Hospital Association Inc

  • General Acute Care Hospital
  • Pine Bluff, AR
  • NPI 1710931985

  Hospital

  Care Compare affiliation
• St John'S Place of Arkansas, LLC

  • Skilled Nursing Facility
  • Fordyce, AR
  • NPI 1154541878

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1851470140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N CLIFTON ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717423025",
            "telephone_number": "870-352-3525",
            "fax_number": "870-352-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N CLIFTON ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717423025",
            "telephone_number": "870-352-3525",
            "fax_number": "870-352-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLEY",
        "first_name": "LINDSEY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E5091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168585001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Fordyce, AR
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.