ELLEN WESELI WARD (APRN) – Family Nurse Practitioner, NPI 1104478585

ELLEN WESELI WARD (APRN) is a healthcare provider. based in Hardy, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 121432 (AR). The NPI Number for ELLEN WESELI WARD (APRN) is 1104478585

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
ELLEN WESELI WARD (APRN)
NPI
1104478585
Phone
Not provided
Address
101 W MAIN ST
Enumeration Date
15 July 2019
Last Update Date
15 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4792946085
Graduation Year
2019 (7 years ago)
PAC ID
5092042382
Group Practice PAC ID
5890077093
Professional Enrollment ID
I20190808003450
Address ID
AR727742813WE451XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

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Provider Addresses for ELLEN WESELI WARD (APRN)

  • 101, West Main Street, Wardensville, Hardy County, West Virginia, 26851, United States

    HARDY, AR 725429566

    Phone:

    Type: Mailing

  • Highway 62, Salem, Fulton County, Arkansas, 72576, United States

    SALEM, AR 725768059

    Phone: (870) 895-2015

    Fax: (870) 895-2164

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-08-08

PECOS data refreshed: 2026-05-27

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
I20190808003450INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72542)

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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: 5890077093View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerOK
Family Practice, Geriatric MedicineAR
-AR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
-AR

Reviews

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Frequently asked questions

What is the standard ID for ELLEN WESELI WARD (APRN) in the U.S.?
In the U.S., ELLEN WESELI WARD (APRN) is identified by NPI 1104478585.
Is ELLEN WESELI WARD (APRN) currently accepting referrals based on NPI status?
Registry metadata lists ELLEN WESELI WARD (APRN) as active.
What services align with ELLEN WESELI WARD (APRN)'s listing?
ELLEN WESELI WARD (APRN)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to ELLEN WESELI WARD (APRN)?
ELLEN WESELI WARD (APRN) shows a connection to Hardy, Arkansas in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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