ANGEL GULLEY (APRN) – Family Nurse Practitioner, NPI 1073159984

ANGEL GULLEY (APRN) is a healthcare provider. based in Jonesboro, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. A005761 (AR). The NPI Number for ANGEL GULLEY (APRN) is 1073159984

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ANGEL GULLEY (APRN)
NPI
1073159984
Phone
(870) 919-2904
Address
4720 WILDWOOD LN
Enumeration Date
26 November 2019
Last Update Date
30 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8707398670
Graduation Year
2018 (8 years ago)
PAC ID
6002243045
Group Practice PAC ID
1850633074
Professional Enrollment ID
I20200303002166
Address ID
AR723649004MA924XX77XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,434 NURSE PRACTITIONER in AR

Provider Addresses for ANGEL GULLEY (APRN)

  • 4720 WILDWOOD LN

    JONESBORO, AR 724056098

    Phone: (870) 919-2904

    Type: Mailing

  • 924 STATE HIGHWAY 77

    MARION, AR 723649004

    Phone: (870) 739-8670

    Type: Mailing

  • 924 AR 77

    MARION, AR 72364

    Phone: (870) 739-8670

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 97 Open Payments records for all available years, with a total value of $1,658.

Total Amount is formed as General ($1,658) + Research ($0) + Ownership ($0) = $1,658.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($556).

Total Amount

$1,658

General + Research + Ownership

Payments

97

Total payment records

General Amount

$1,658

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-03-03

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200303002166INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes377244$0
J1100Injection, dexamethasone sodium phosphate, 1 mg32873$0
J0696Injection, ceftriaxone sodium, per 250 mg14228$0
36415Insertion of needle into vein for collection of blood sample139105$0
96372Injection of drug or substance under skin or into muscle129108$0
View full utilization report →

Insurance plans in this area (ZIP 72405)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850633074View full group profile
NameSpecialtyState
Nurse PractitionerTN
Family PracticeAR
Physician AssistantTN
Family PracticeAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Family PracticeFL

Reviews

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Frequently asked questions

What NPI should I save for ANGEL GULLEY (APRN)?
Save NPI 1073159984 if you need a stable reference for ANGEL GULLEY (APRN).
Is ANGEL GULLEY (APRN) active in the national directory?
ANGEL GULLEY (APRN)'s public NPI profile is in an active state.
Can you summarize ANGEL GULLEY (APRN)'s specialty in plain language?
Clinically, the directory lists ANGEL GULLEY (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANGEL GULLEY (APRN)?
The page summarizes Jonesboro, Arkansas for ANGEL GULLEY (APRN); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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