WANDA CAROL TOWNSEND APRN, PLLC
NPI 1740906031
Family Medicine in Pottsville, AR

Active since October 18, 2022CLIA 04D2274442 · Waiver
5150B SR 247, POTTSVILLE, AR 72858(479) 567-5680(479) 567-5679 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 28, 2022, Oct 18, 2022 (2 updates tracked since 2022).

About Wanda Carol Townsend Aprn, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WANDA CAROL TOWNSEND APRN, PLLC (NPI 1740906031) is a healthcare organization registered as a family medicine in Pottsville, Arkansas and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through January 3, 2027 and lists Wanda Carol Townsend, Owner, as its authorized official.

NPPES Registry Identity

NPI1740906031
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWANDA CAROL TOWNSEND APRN, PLLC
Location Address5150B SR 247Pottsville, AR 72858-6002
Mailing Address5150b Sr 247Pottsville, AR 72858-6002 · (479) 970-4018 · Fax (479) 567-5679
Fax(479) 567-5679
Organization SubpartNo
Authorized OfficialWanda Carol TownsendOwner · (479) 970-4018
Enumeration DateOctober 18, 2022
Last NPPES UpdateOctober 28, 20222 updates tracked since enumeration
NPPES CertifiedOctober 28, 2022
✔ NPI 1740906031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5150B SR 247, Pottsville, AR 72858

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wanda Carol Townsend Aprn, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wanda Carol Townsend Aprn, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1063622652
5150B SR 247
Pottsville, AR 72858
(795) 675-6794
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2274442

Wanda Carol Townsend Aprn LLC · Pottsville, AR
Active · expires Jan 3, 2027
CLIA Number04D2274442
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorWanda C. Townsend
Laboratory Phone(479) 567-5680
Laboratory LocationWanda Carol Townsend Aprn LLC5150B Sr 247, Pottsville, AR 72858
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Carol Townsend Aprn, PLLC's NPI number?

The NPI number for Wanda Carol Townsend Aprn, PLLC is 1740906031. It was assigned to this organization in the NPPES registry on October 18, 2022.

Where is Wanda Carol Townsend Aprn, PLLC located?

Wanda Carol Townsend Aprn, PLLC is located at 5150B Sr 247, Pottsville, AR 72858. The listed phone number is (479) 567-5680.

What is Wanda Carol Townsend Aprn, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wanda Carol Townsend Aprn, PLLC enrolled in Medicare?

Yes. Wanda Carol Townsend Aprn, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wanda Carol Townsend Aprn, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Wanda Carol Townsend Aprn, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wanda Carol Townsend Aprn, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2274442) is associated with this NPI, valid through January 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wanda Carol Townsend Aprn, PLLC was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.