Kendra Wilson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

120677 Issued in AR

Practice address

1 Medical Park Dr
Benton, AR 72015-2712

Phone

(501) 776-6901

Fax

(501) 776-6908

NPI assigned

Jun 20, 2019

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saline Clinics LLCGroup PAC ID 0547553836, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saline Memorial Home Health Home health agency, Bryant, AR, CCN 047043
• Saline Memorial Hospital Hospital, Benton, AR, CCN 040084
• University of Arkansas Medical Sciences Hospital, Little Rock, AR, CCN 040016
• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Saline Clinics LLC

  • Gastroenterology Physician
  • Benton, AR
  • NPI 1447609367

  AR, Family Medicine

  Medicare reassignment Care Compare group NPD
• Shawn Purifoy, M.D., P.a.

  • Family Medicine Physician
  • Malvern, AR
  • NPI 1295745933

  AR, Family Medicine

  Medicare reassignment NPD
• Saline Hospital LLC

  • Rehabilitation Hospital Unit
  • Benton, AR
  • NPI 1013091925
  NPD (past)

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

• Arkansas in-Home Partner-I, LLC

  • Home Health Agency
  • Bryant, AR
  • NPI 1164071395
  Care Compare affiliation
• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682

  Hospital

  Care Compare affiliation
• Saline Hospital LLC

  • General Acute Care Hospital
  • Benton, AR
  • NPI 1235111071

  Hospital

  Care Compare affiliation
• University of Arkansas for Medical Sciences

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1477549756

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1992365019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152712",
            "telephone_number": "501-776-6901",
            "fax_number": "501-776-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152712",
            "telephone_number": "501-776-6901",
            "fax_number": "501-776-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KENDRA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "120677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willow Ridge Nursing and Rehabilitation, LLC
• Alesia Wilson, RECOVERY ASSISTANT
• Antoinette Wilson, RECOVERY ASSISTANT
• Heidi Wilson
• Kelsey Wilson
• Kristen Wilson, NP
• Morgan Wilson, QBHP
• Renee D Wilson, RNP
• Sherrie Wilson, RECOVERY ASSISTANT
• Katherine Wingfield

• All providers in Benton, AR
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.