Julie Marie Wylie, ANP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

A003456 Issued in AR

Practice address

708 S Timberlane Dr Ste a
El Dorado, AR 71730-6991

Phone

(870) 639-6465

Fax

(870) 639-6470

NPI assigned

Feb 20, 2008

Last updated

Dec 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mobley Medical Clinic PLLCGroup PAC ID 8729478193, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Arkansas Home Health Home health agency, El Dorado, AR, CCN 047021
• South Arkansas Regional Hospital LLC Hospital, El Dorado, AR, CCN 040088
• Ouachita County Medical Center Hospital, Camden, AR, CCN 040050
• Reeves Memorial Medical Center Hospital, Bernice, LA, CCN 191326

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Mobley Medical Clinic PLLC

  • Acute Care Nurse Practitioner
  • El Dorado, AR
  • NPI 1871250555
  Medicare reassignment Care Compare group NPD
• South Arkansas Physician Group LLC

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1285325969
  Medicare reassignment NPD
• University of Arkansas for Medical Sciences

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1083486781
  Medicare reassignment NPD
• Arkansas Renal Group PA

  dba Hot Springs Diagnostic Associates

  • Nephrology Physician
  • Hot Springs, AR
  • NPI 1699043067
  NPD
• Arkansas Renal Group PA

  dba Russellville Nephrology

  • Nephrology Physician
  • Russellville, AR
  • NPI 1922769322
  NPD
• South Arkansas Physician Services LLC

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1427018704
  NPD
• University of Arkansas for Medical Sciences

  • Family Medicine Physician
  • Pine Bluff, AR
  • NPI 1831144120
  NPD
• California Renal Care

  dba South Arkansas Nephrology Services

  • Nephrology Physician
  • Monterey, CA
  • NPI 1134404130
  NPD
• The Guinn Clinic, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • El Dorado, AR
  • NPI 1073156741
  NPD (past)

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

• El Dorado Home Care Services, LLC

  dba South Arkansas Home Health

  • Home Health Agency
  • El Dorado, AR
  • NPI 1285659409
  Care Compare affiliation
• South Arkansas Regional Hospital LLC

  • General Acute Care Hospital
  • El Dorado, AR
  • NPI 1780375592
  Care Compare affiliation
• Ward 3 4 & 10 Hospital Service District of Parish of Union

  dba Reeves Memorial Medical Center

  • Critical Access Hospital
  • Bernice, LA
  • NPI 1023018835
  Care Compare affiliation

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1932377256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S TIMBERLANE DR STE A",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306991",
            "telephone_number": "870-639-6465",
            "fax_number": "870-639-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S TIMBERLANE DR STE A",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306991",
            "telephone_number": "870-639-6465",
            "fax_number": "870-639-6470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 W Grove St Ste 202",
            "address_purpose": "LOCATION",
            "city": "El Dorado",
            "state": "AR",
            "postal_code": "717304425",
            "country_code": "US",
            "telephone_number": "870-534-7676",
            "fax_number": "870-863-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYLIE",
        "first_name": "JULIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A003456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BCBS",
            "identifier": "5V322",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• WPM Community Pharmacies, LLC (Allcare Pharmacy)
• Brandon Wright, QBHP
• Ladonia Wright
• Christy Wust, APRN
• Jennifer Kinard Wylie, M.S., CCC-SLP
• Larry Yarbrough
• Kamme Young
• Shu Zhang, M.D.

• Adult Health Nurse Practitioner in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Adult Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.

Verify at the official NPI Registry.