Individual provider Active NPI

Michaela Erin Gardner, APRN

  • Family Nurse Practitioner
  • Wynne, AR
National Provider Identifier
1972260545
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
217198 Issued in AR
Practice address
1920 Falls Blvd N
Wynne, AR 72396-4027
Phone
(870) 587-0800
Fax
(870) 587-0799
NPI assigned
Nov 18, 2021
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 217198 AR Primary

Addresses

Primary practice location

1920 Falls Blvd N
Wynne, AR 72396-4027

Mailing address

800 S Church St Ste 400
Jonesboro, AR 72401-4112
Phone (870) 935-6012

Other names 1

  • Michaela Erin Oguin 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
I20240207000775 AR Practitioner - Nurse Practitioner 8628411642 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harmony Health Clinic Wynne, PLLCGroup PAC ID 6305217688, 11 clinicians

Practice addresses (Care Compare)

1920 Falls Blvd N
Wynne, AR 72396-4027
Phone (870) 587-0800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217198ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis-Arkansas Physician Network, LLC CurrentSince Jan 8, 2024 Accepting new patients
Mitchell Family Medicine, LLC CurrentSince Feb 1, 2025 Accepting new patients
Harmony Health Clinic Wynne, PLLC CurrentSince Oct 14, 2024 Accepting new patients
Harmony Health Clinic Wynne, PLLC CurrentSince Oct 14, 2024 Accepting new patients

Locations

902 Holiday Dr
Ste 106
Forrest City, AR 72335
Phone (870) 494-3025

924 State Highway 77
Marion, AR 72364
Phone (870) 739-5310

437 S Country Club Rd
Osceola, AR 72370
Phone (870) 563-0820

300 S Rhodes St
West Memphis, AR 72301
Phone (870) 400-0433

1920 Falls Blvd N
Wynne, AR 72396
Phone (870) 587-0800

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 2

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": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1972260545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CHURCH ST STE 400",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014112",
            "telephone_number": "870-935-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 FALLS BLVD N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723964027",
            "telephone_number": "870-587-0800",
            "fax_number": "870-587-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MICHAELA",
        "middle_name": "ERIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "217198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAELA",
            "last_name": "OGUIN",
            "middle_name": "ERIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wynne, AR

Sources for this page

Verify at the official NPI Registry.