Wendy Jo Kelton, APN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

A03509 Issued in AR

Practice address

1113 Chestnut St
Lewisville, AR 71845-0367

Phone

(870) 921-5744

Fax

(870) 921-5733

NPI assigned

Apr 27, 2011

Last updated

Apr 27, 2011By the provider in NPPES

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

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, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Arkansas Department of Health Payroll OfficeGroup PAC ID 5799696779, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Arkansas Department of Health Payroll Office

  • Public Health or Welfare Agency
  • Little Rock, AR
  • NPI 1619195906
  Medicare reassignment Care Compare group
• State of Arkansas

  • Skilled Nursing Facility
  • North Little Rock, AR
  • NPI 1689117756
  NPD (past)
• State of Arkansas

  dba Lafayette County Health Unit

  • Home Health Agency
  • Lewisville, AR
  • NPI 1932119062
  NPD (past)

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1942591896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "address_2": "1113 CHESTNUT STREET",
            "city": "LEWISVILLE",
            "state": "AR",
            "postal_code": "718450367",
            "telephone_number": "870-921-5744",
            "fax_number": "870-921-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 CHESTNUT ST",
            "city": "LEWISVILLE",
            "state": "AR",
            "postal_code": "718450367",
            "telephone_number": "870-921-5744",
            "fax_number": "870-921-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELTON",
        "first_name": "WENDY",
        "middle_name": "JO",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AR",
            "license": "A03509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chevon Yvette Garrard, LPC
• Cassandra Lacole Henry
• Alisha W. Howell, R.N.
• Lisa Lanette Jackson, APN
• Katherine Sue Kee, LCSW
• Pamela Kirkpatrick, MHPP
• Lafayette County Ambulance Service Inc.
• Lafayette County Family Practice
• Lafayette County Public Schools
• Lafayette County Public Schools

• Women's Health Nurse Practitioner in Lewisville, AR
• Providers in Lewisville, AR by specialty
• Women's Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.