Mikka Elizabeth Fenley, APRN is a medicare enrolled "Nurse Practitioner" in Quitman, Arkansas. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Boston Mountain Rural Health Center, Inc and her current practice location is
130 4th St, Quitman, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(888) 602-3647.
Mikka Elizabeth Fenley is licensed to practice in Arkansas (license number 213280) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821690884.
Provider's Profile
| Full Name | Mikka Elizabeth Fenley |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 5 Years |
|---|
| Location | 130 4th St, Quitman, Arkansas |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mikka Elizabeth Fenley graduated from nursing school in 2020
NPI Data:
- NPI Number: 1821690884
- Provider Enumeration Date: 11/13/2020
- Last Update Date: 06/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 3779995246
- Enrollment ID: I20201208001063
Medical Identifiers
Medical identifiers for Mikka Elizabeth Fenley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821690884 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 213280 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Boston Mountain Rural Health Center, Inc | 3870401722 | 49 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mikka Elizabeth Fenley allows following entities to bill medicare on her behalf.
| Entity Name | Boston Mountain Rural Health Center, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1720096027
PECOS PAC ID: 3870401722
Enrollment ID: O20040701000737 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mikka Elizabeth Fenley is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mikka Elizabeth Fenley, APRN
Po Box 1060,
Marshall, AR 72650-1060
Ph: (501) 358-6145 | Mikka Elizabeth Fenley, APRN
130 4th St,
Quitman, AR 72131-9289
Ph: (888) 602-3647 |
Reviews and Comments