NPIMap

Individual provider Active NPI

Hannah Jane Wilburn, APRN

  • Primary Care Nurse Practitioner
  • Harrison, AR
National Provider Identifier
1881291896
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
213177 Issued in AR
Practice address
715 W Sherman Ave
Harrison, AR 72601-2743
Phone
(870) 741-8247
NPI assigned
Oct 2, 2020
Last updated
Oct 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 213177 AR Primary

Addresses

Primary practice location

715 W Sherman Ave
Harrison, AR 72601-2743

Mailing address

715 W Sherman Ave
Harrison, AR 72601-2743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201221002628 AR Practitioner - Nurse Practitioner 7214349935 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Arkansas Regional Medical CenterGroup PAC ID 5193615896, shared by 10 NPIs, 86 clinicians

Practice addresses (Care Compare)

620 N Mail St
Harrison, AR 72601-2911
Phone (870) 414-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213177ARMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System CurrentSince Nov 1, 2020 Accepting new patients
Michael S. Clarke, M.D., P.a. Current Accepting new patients
North Arkansas Regional Medical Center CurrentSince Sep 7, 2024 Accepting new patients
North Arkansas Regional Medical Center Current Accepting new patients
North Arkansas Regional Medical Center CurrentSince Apr 1, 2021 Accepting new patients
North Arkansas Regional Medical Center CurrentSince May 24, 2024 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Apr 1, 2021 Accepting new patients
Washington Regional Medical System CurrentSince Nov 1, 2020 Accepting new patients
North Arkansas Regional Medical Center Past Accepting new patients
North Arkansas Regional Medical Center Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

224 W Erie Ave
Harrison, AR 72601
Phone (870) 414-4599

620 N Main St
Harrison, AR 72601
Phone (870) 365-2000

620 N Main St
Ste 2A
Harrison, AR 72601
Phone (870) 414-4599

620 N Main St
Ste 2B
Harrison, AR 72601
Phone (870) 414-4000

715 W Sherman Ave
Ste G
Harrison, AR 72601
Phone (870) 741-8247

724 N Spring St
Harrison, AR 72601
Phone (870) 414-4000

724 N Spring St
Ste A
Harrison, AR 72601
Phone (870) 365-0850

Organizations & group practices 11

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 4

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": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1881291896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W SHERMAN AVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W SHERMAN AVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012743",
            "telephone_number": "870-741-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "HANNAH",
        "middle_name": "JANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "213177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.