Jennifer Mace
Individual provider Active NPI Adult Health Nurse Practitioner · Hot Springs, AR
NPI 1023535952 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1023535952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- A005235 (AR)
- Practice address
- 120 Adcock Rd Ste D
Hot Springs, AR 71913-7958 - Phone
- (501) 547-5691
- Fax
- (501) 651-4296
- NPI assigned
- Aug 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Villagehealth DM LLC
Practice addresses (Care Compare)
5200 Virginia Way
Brentwood, TN 37027-7569
Phone (720) 703-5293
620 W Grove St
El Dorado, AR 71730-4462
Phone (870) 862-8788
8037 Dixie Hwy
Louisville, KY 40258-1344
Phone (800) 424-6589
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AR, KY, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180214000191 | AR | Practitioner - Nurse Practitioner | 5890055727 | Reassigns benefits to 3 organizations |
| I20260302001982 | KY | Practitioner - Nurse Practitioner | 5890055727 | Reassigns benefits to 1 organization |
| I20260409002908 | TN | Practitioner - Nurse Practitioner | 5890055727 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A005235 | AR | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthstar Physicians of Hot Springs, PLLC | Multi-Specialty | Current | Accepting new patients |
| Healthstar Physicians of Hot Springs | Multi-Specialty | Current |
Accepting new patients |
| Villagehealth DM LLC | Multi-Specialty | Current |
Accepting new patients |
| Healthstar Physicians of Hot Springs, PLLC | Current |
Accepting new patients | |
| Healthstar Physicians of Hot Springs, PLLC | Multi-Specialty | Current |
Accepting new patients |
| First Care Family Medicine-Mena PLLC | Multi-Specialty | Current |
Accepting new patients |
Locations
620 W Grove St
El Dorado, AR 71730
Phone (870) 862-0801
1661 Airport Rd
Ste D
Hot Springs National Park, AR 71913
Phone (501) 547-5718
1661 Airport Rd
Ste F
Hot Springs National Park, AR 71913
Phone (501) 651-4300
120 Adcock Rd
#A
Hot Springs National Park, AR 71913
Phone (501) 651-4500
120 Adcock Rd
#D
Hot Springs National Park, AR 71913
Phone (501) 547-5691
1706 Highway 71 N
Mena, AR 71953
Phone (479) 394-1500
8037 Dixie Hwy
Louisville, KY 40258
Phone (502) 937-9111
5200 Virginia Way
Brentwood, TN 37027
Phone (615) 238-3085
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner |
363LG0600X | A005235 | AR | |
| Adult Health Nurse Practitioner |
363LA2200X | A005235 | AR | Yes |
Addresses
Primary practice location
120 Adcock Rd Ste D
Hot Springs, AR 71913-7958
Mailing address
120 Adcock Rd Ste D
Hot Springs, AR 71913-7958
Phone (501) 547-5691
NPI Registry JSON
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1023535952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 ADCOCK RD STE D",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719137958",
"telephone_number": "501-547-5691",
"fax_number": "501-651-4296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 ADCOCK RD STE D",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719137958",
"telephone_number": "501-547-5691",
"fax_number": "501-651-4296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACE",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": "AR",
"license": "A005235",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "AR",
"license": "A005235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
- Ethan Lyles
- Fred Lyles
- Lula Maude Lynch
- Sherry Ann Lynch
- Rebecca Mabry
- Mackenzie Mack
- Melissa A Magby
- Kerry Elizabeth Mahan
- Katina Mairs
- Kelly Nicole Malcom
All providers in Hot Springs, AR · Adult Health Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.