Jerrica Lacey Luster, APRN-PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

214728 Issued in AR

Practice address

6023 Hardin Dr
Bryant, AR 72022-7528

Phone

(501) 794-7897

NPI assigned

Mar 30, 2021

Last updated

Jul 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jerrica Ballance Former name

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Restorative Minds Clinic

  dba RMC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bryant, AR
  • NPI 1568344430
  NPD Authorized official
• 10TH District Substance Abuse Treatment Center

  dba New Beginnings CASA

  • Substance Abuse Rehabilitation Facility
  • Warren, AR
  • NPI 1376805515
  Medicare reassignment
• 10TH District Substance Abuse Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Warren, AR
  • NPI 1275323099
  NPD
• 10TH District Substance Abuse Treatment Center

  dba New Beginnings CASA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pine Bluff, AR
  • NPI 1679360820
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1013595420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6023 HARDIN DR",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227528",
            "telephone_number": "501-794-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6023 HARDIN DR",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227528",
            "telephone_number": "501-794-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTER",
        "first_name": "JERRICA",
        "middle_name": "LACEY",
        "credential": "APRN-PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "214728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERRICA",
            "last_name": "BALLANCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Marie London, COTA/L
• Veronika Nikole Lopez-Figures
• Kaitlyn Marie Loudermilk
• Robin Elizabeth Love
• Sarah Lowery, LPC
• Luxottica of America Inc (Target Optical #Q719)
• Wendy Lynch, LPE
• Lindsay Paige Macphee
• Madeline Kate Malmstrom
• Robert Maltby, PHARM D

• Psychiatric/Mental Health Nurse Practitioner in Bryant, AR
• Providers in Bryant, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.