LAURA MARIE WEATHERFORD (APN, FNP-BC) – Family Nurse Practitioner, NPI 1861744773

LAURA MARIE WEATHERFORD (APN, FNP-BC) is a healthcare provider. based in Blytheville, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APN, FNP-BC. They hold a License No. A003761 (AR). The NPI Number for LAURA MARIE WEATHERFORD (APN, FNP-BC) is 1861744773

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
LAURA MARIE WEATHERFORD (APN, FNP-BC)
NPI
1861744773
Phone
(870) 824-2809
Address
1100 MEDICAL DR STE C
Enumeration Date
3 October 2012
Last Update Date
8 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8702754272
Graduation Year
2012 (14 years ago)
PAC ID
8123247616
Group Practice PAC ID
3476072992
Professional Enrollment ID
I20140916000595
Address ID
AR724012781JO411XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for LAURA MARIE WEATHERFORD (APN, FNP-BC)

  • 1100 MEDICAL DR STE C

    BLYTHEVILLE, AR 723152437

    Phone: (870) 824-2809

    Fax: (870) 762-0731

    Type: Mailing

  • PO BOX 9178

    RUSSELLVILLE, AR 728119178

    Phone: (800) 824-4094

    Fax: (479) 968-1673

    Type: Mailing

  • 411 W WASHINGTON AVE STE B

    JONESBORO, AR 724012781

    Phone: (870) 275-4272

    Fax: (870) 275-4277

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $386.

Total Amount is formed as General ($386) + Research ($0) + Ownership ($0) = $386.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Medtronic, Inc. ($182).

Total Amount

$386

General + Research + Ownership

Payments

18

Total payment records

General Amount

$386

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-09-16

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
I20140916000595INurse 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
80307Testing for presence of drug, by chemistry analyzers6647$0
G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms5942$0
99214Established patient office or other outpatient visit, 30-39 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 72315)

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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: 3476072992View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

What number should I use to identify LAURA MARIE WEATHERFORD (APN, FNP-BC) for billing?
Administrative and clinical systems typically use NPI 1861744773 for LAURA MARIE WEATHERFORD (APN, FNP-BC).
Is LAURA MARIE WEATHERFORD (APN, FNP-BC) currently accepting referrals based on NPI status?
Registry metadata lists LAURA MARIE WEATHERFORD (APN, FNP-BC) as active.
What type of care does LAURA MARIE WEATHERFORD (APN, FNP-BC) provide?
LAURA MARIE WEATHERFORD (APN, FNP-BC)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LAURA MARIE WEATHERFORD (APN, FNP-BC)?
LAURA MARIE WEATHERFORD (APN, FNP-BC) is associated with Blytheville, Arkansas in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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