FALLON E WYATT NPI 1093191819

NPI Information

  • NPI: 1093191819
  • Provider Name: FALLON E WYATT
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4001 COMMERCIAL CENTER DR STE 1
    MARION, AR
    ZIP 72364
  • Phone: (901) 496-0071

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NPI Details

Fallon E Wyatt is a family nurse practitioner in Marion, AR with 11 years of experience. Fallon E Wyatt NPI is 1093191819. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4001 COMMERCIAL CENTER DR STE 1
MARION, AR
ZIP 72364-616
Phone: (901) 496-0071

The NPI 1093191819 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, diphenhydramine hcl, up to 50 mg (HCPCS:J1200)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Automated urinalysis test (HCPCS:81003)
  • Inhalation treatment for airway obstruction or sputum production (HCPCS:94640)
  • Detection test by nucleic acid for multiple types influenza virus (HCPCS:87502)

The enumeration date for this NPI number is 8/4/2015 and was last updated on 9/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyA004461ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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