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

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.

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 (161 clinicians)

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
A005235ARMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians of Hot Springs, PLLC Multi-Specialty Current Accepting new patients
Healthstar Physicians of Hot Springs Multi-Specialty Current
since Dec 1, 2017
Accepting new patients
Villagehealth DM LLC Multi-Specialty Current
since Aug 7, 2023
Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Current
since Dec 1, 2017
Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Multi-Specialty Current
since Dec 1, 2017
Accepting new patients
First Care Family Medicine-Mena PLLC Multi-Specialty Current
since Feb 25, 2021
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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LG0600X A005235 AR
Adult Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2022.

{
    "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

All providers in Hot Springs, AR · Adult Health Nurse Practitioner in Arkansas

Sources for this page

Verify at the official NPI Registry.