JOHN EVERETT WILSON MD
NPI 1831149764
Family Medicine in Walnut Ridge, AR
About John Everett Wilson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN EVERETT WILSON MD (NPI 1831149764) is an individual family medicine provider in Walnut Ridge, Arkansas, licensed in Arkansas (E2605) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Everett Wilson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Walnut Ridge, AR 72476
- Reassigned Medicare billing, Arkansas enrollment
- Also billed through NPI 1962626770 (Arkansas)
- 14 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72476 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WALNUT RIDGE, AR 72476
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 John Wilson's NPI number?
The NPI number for John Wilson is 1831149764. It was assigned to this individual provider in the NPPES registry on May 11, 2006.
Where is John Wilson located?
John Wilson practices at 1309 W Main St, Walnut Ridge, AR 72476. The listed phone number is (870) 886-1200.
What is John Wilson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Wilson enrolled in Medicare?
Yes. John Wilson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Wilson reassigns Medicare benefits to Lawrence Memorial Health Foundation Inc. (Walnut Ridge, AR). The 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 John Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Wilson accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list John Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Wilson was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# John Everett Wilson, MD · NPI 1831149764
Family Medicine physician in Walnut Ridge, Arkansas. Individual provider, active in the CMS NPPES registry since May 11, 2006.
## Identity
- **NPI:** 1831149764 (Entity type: Individual)
- **Enumerated:** May 11, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** E2605 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1309 W MAIN ST, Walnut Ridge, AR 72476-1430
- **Phone:** (870) 886-1200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lawrence Memorial Health Foundation Inc. (NPI 1194724658, Walnut Ridge, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1831149764) · Data from the CMS NPPES public registry.