Individual provider Active NPI

Marrlynn Flory, APRN

  • Family Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1992761860
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A001430 Issued in AR
Practice address
1100 N Woolsey Ave
Fayetteville, AR 72703-1847
Phone
(479) 444-7548
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 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 A001430 AR Primary

Addresses

Primary practice location

1100 N Woolsey Ave
Fayetteville, AR 72703-1847

Mailing address

1100 N Woolsey Ave
Fayetteville, AR 72703-1847
Phone (479) 444-7548

Other identifiers 1

IdentifierTypeStateIssuer
154569758MedicaidAR

Other names 1

  • Marrlynn Flory Other 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
I20040811001279 AR Practitioner - Nurse Practitioner 4183696891 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Welcomehealth CurrentSince Feb 16, 2025 Accepting new patients
Dean S. Butler Hope Physical Therapy Center Current Accepting new patients
D. Wayne Brooks, M.D., P.a. PastSince Sep 2, 2013 Accepting new patients
QHG of Springdale, Inc. Past Accepting new patients

Locations

1100 N Woolsey Ave
Fayetteville, AR 72703
Phone (479) 444-7548

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1992761860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N WOOLSEY AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031847",
            "telephone_number": "479-444-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N WOOLSEY AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031847",
            "telephone_number": "479-444-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORY",
        "first_name": "MARRLYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A001430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154569758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARRLYNN",
            "last_name": "FLORY",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.