Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lidwina Wangsadipura Powers, PA-C

Individual provider Physician Assistant · NPI 1124355623

Lidwina Wangsadipura Powers, PA-C is a Physician Assistant in Jonesboro, Arkansas. Qualified in 2008, 18 years ago. Practices with Arcare, a 248-clinician group and accepts Medicare assignment. Licensed in Arkansas and California.

Years since qualifying
18
Licensed in
AR, CA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5510 SW Dr Ste 11-12
Jonesboro, AR 72404-8351
Phone: (870) 641-4471
Fax: (870) 206-7068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-753 (AR)
Physician Assistant Taxonomy 363A00000X · Licence PA20529 (CA)

Record details

NPI number1124355623
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 4, 2009
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Arcare — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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