Individual provider Active NPI

Katie J Hutton, APRN

  • Adult Health Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1023503869
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
A005765 Issued in AR
Practice address
300 Carson St
Jonesboro, AR 72401-3104
Phone
(870) 910-7726
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A005765 AR
Adult Health Nurse Practitioner 363LA2200X A005765 AR Primary

Addresses

Primary practice location

300 Carson St
Jonesboro, AR 72401-3104

Mailing address

5512 Cordova LN
Jonesboro, AR 72404-7814
Phone (870) 588-7642

Other practice location 1

616 W Keiser Ave
Osceola, AR 72370-3504
Phone (870) 936-8000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180808001847 AR Practitioner - Nurse Practitioner 5597013516 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Bernards Hospital Inc.Group PAC ID 0941105480, shared by 10 NPIs, 187 clinicians

Practice addresses (Care Compare)

225 E Washington Ave
St Bernards Medical Center
Jonesboro, AR 72401-3119
Phone (870) 972-4100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A005765ARMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Bernards Hospital Inc CurrentSince Feb 21, 2025 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Jul 23, 2018 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
St Bernards Hospital Inc. CurrentSince Jun 1, 2023 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Jul 23, 2018 Accepting new patients
St Bernards Hospital Inc CurrentSince Jun 1, 2023 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Past Accepting new patients

Locations

303 E Matthews Ave
Ste 202
Jonesboro, AR 72401
Phone (870) 207-7555

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

616 W Keiser Ave
Osceola, AR 72370
Phone (870) 563-5888

Interoperability endpoints

  • Direct secure messaging: mhutton@sbpc.medalliesdirect.net

Organizations & group practices 7

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1023503869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 CORDOVA LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724047814",
            "telephone_number": "870-588-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CARSON ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013104",
            "telephone_number": "870-910-7726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 W Keiser Ave",
            "address_purpose": "LOCATION",
            "city": "Osceola",
            "state": "AR",
            "postal_code": "723703504",
            "country_code": "US",
            "telephone_number": "870-936-8000",
            "fax_number": "870-934-3651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTTON",
        "first_name": "KATIE",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005765",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A005765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.