Individual provider Active NPI

Nedra Allen-Jones, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Conway, AR
National Provider Identifier
1043978422
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
218062 Issued in AR
Practice address
161 Skunk Hollow Road
Conway, AR 72032
Phone
(501) 733-1926
NPI assigned
Dec 2, 2021
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 218062 AR Primary

Addresses

Primary practice location

161 Skunk Hollow Road
Conway, AR 72032

Mailing address

161 Skunk Hollow Road
Conway, AR 72032
Phone (501) 733-1926

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
I20220712001061 AR Practitioner - Nurse Practitioner 2163802802 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forefront-Rush Medical Services PCGroup PAC ID 8628324878, 10 clinicians

Practice addresses (Care Compare)

200 N 3Rd St
Dardanelle, AR 72834-3802
Phone (972) 449-0540

300 S Spring St
Suite 900
Little Rock, AR 72201-2425
Phone (972) 449-0540

719 Detroit Ave
Danville, AR 72833-9607
Phone (972) 449-0540

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Single Specialty CurrentSince Jan 21, 2025 Accepting new patients
Forefront-Rush Medical Services PC Single Specialty CurrentSince Jun 29, 2022 Accepting new patients
Forefront-Crane Medical Services PC Single Specialty Past Accepting new patients

Locations

300 Spring Building
Ste 900
Little Rock, AR 72201
Phone 80099761969238

Interoperability endpoints

  • Direct secure messaging: nedra.allen-jones.1@24287.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1043978422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 SKUNK HOLLOW ROAD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72032",
            "telephone_number": "501-733-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 SKUNK HOLLOW ROAD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72032",
            "telephone_number": "501-733-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN-JONES",
        "first_name": "NEDRA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "218062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.