Individual provider Active NPI

Lauren Paige Wahlmeier, PA-C

  • Physician Assistant
  • Fort Smith, AR
National Provider Identifier
1952817587
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PT2018-004 Issued in AR
Practice address
3501 We Knight Dr
Fort Smith, AR 72903-6254
Phone
(479) 709-6700
NPI assigned
Dec 19, 2017
Last updated
Dec 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PT2018-004 AR Primary

Addresses

Primary practice location

3501 We Knight Dr
Fort Smith, AR 72903-6254

Mailing address

508 N 14TH St
Van Buren, AR 72956-4548
Phone (479) 651-8749

Other practice location 1

3601 S 79th St
Fort Smith, AR 72903-6255
Phone (479) 709-8500

Other names 1

  • Lauren Paige Carr Former name

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
I20180221000525 AR Practitioner - Physician Assistant 9133480874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Tennessee, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians

Practice addresses (Care Compare)

1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321

3501 We Knight Dr
Fort Smith, AR 72903-6254
Phone (479) 709-6700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Feb 26, 2018 Accepting new patients
Mercy Clinic Fort Smith Communities Past Accepting new patients

Locations

2901 S 74th St
Fort Smith, AR 72903
Phone (479) 314-1101

3501 We Knight Dr
Fort Smith, AR 72903
Phone (479) 709-6700

3601 S 79th St
Fort Smith, AR 72903
Phone (479) 314-4723

Organizations & group practices 4

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 3

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": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1952817587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N 14TH ST",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729564548",
            "telephone_number": "479-651-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 WE KNIGHT DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036254",
            "telephone_number": "479-709-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 S 79th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729036255",
            "country_code": "US",
            "telephone_number": "479-709-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAHLMEIER",
        "first_name": "LAUREN",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PT2018-004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "CARR",
            "middle_name": "PAIGE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.