Individual provider Active NPI

Elizabeth Lynn Flax, MD

  • Family Medicine Physician
  • Rogers, AR
National Provider Identifier
1982916995
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E7359 Issued in AR
Practice address
613 N 2ND St
Rogers, AR 72756-6611
Phone
(479) 878-1060
Fax
(479) 878-1070
NPI assigned
Jul 7, 2010
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-40182 KS
Family Medicine Physician 207Q00000X E7359 AR Primary

Addresses

Primary practice location

613 N 2ND St
Rogers, AR 72756-6611

Mailing address

613 N 2ND St
Rogers, AR 72756-6611
Phone (479) 878-1060

Other practice location 1

613 N 2nd St
Rogers, AR 72756-6611
Phone (479) 878-1060

Other practice location 2

613 N 2nd St
Rogers, AR 72756-6611
Phone (479) 878-1060

Other practice location 3

14700 W Saint Teresa St Ste 300
Wichita, KS 67235-9630
Phone (316) 274-0142

Other names 1

  • Dr. Elizabeth Lynn Wink 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120808000590 AR Practitioner - Family PracticePractitioner - Emergency Medicine 8820244700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

613 N 2ND St
Rogers, AR 72756-6611
Phone (479) 878-1060

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E7359ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 30, 2023 Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

613 N 2nd St
Rogers, AR 72756
Phone (479) 787-1060

Organizations & group practices 2

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": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1982916995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 N 2ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727566611",
            "telephone_number": "479-878-1060",
            "fax_number": "479-878-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 N 2ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727566611",
            "telephone_number": "479-878-1060",
            "fax_number": "479-878-1070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727566611",
            "country_code": "US",
            "telephone_number": "479-878-1060",
            "fax_number": "479-878-1070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "613 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727566611",
            "country_code": "US",
            "telephone_number": "479-878-1060",
            "fax_number": "479-878-1070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14700 W Saint Teresa St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672359630",
            "country_code": "US",
            "telephone_number": "316-274-0142",
            "fax_number": "316-719-1033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLAX",
        "first_name": "ELIZABETH",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-07",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-40182",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E7359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WINK",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.