Individual provider Active NPI

Stephanie P Patterson, PMHNP-BC, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1063016962
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
227517 Issued in AR
Practice address
323 S Church St
Jonesboro, AR 72401-2913
Phone
(870) 336-6450
Fax
(949) 649-3327
NPI assigned
Nov 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2018022292 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 227517 AR Primary

Addresses

Primary practice location

323 S Church St
Jonesboro, AR 72401-2913

Mailing address

2712 E Johnson Ave
Jonesboro, AR 72405-1874
Phone (870) 932-2800

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
I20240617000060 AR Practitioner - Nurse Practitioner 3274075973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Hospital Inc.Group PAC ID 0941105480, 187 clinicians

Practice addresses (Care Compare)

2712 E Johnson Ave
Jonesboro, AR 72405-1874
Phone (870) 972-4100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018022292MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Hospital Inc. CurrentSince May 1, 2025 Accepting new patients
St. Bernards Hospital, Inc Current Accepting new patients
St Bernards Hospital Inc CurrentSince May 1, 2025 Accepting new patients
Hope & Healing of Nea PLLC CurrentSince Nov 1, 2024 Accepting new patients
Family Counseling Center, Inc. PastSince Nov 1, 2020 Accepting new patients
Family Counseling Center PastSince Nov 1, 2020 Accepting new patients

Locations

2712 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 268-4107

2701 S Caraway Rd
Ste B1
Jonesboro, AR 72401
Phone (870) 790-1766

615 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 494-5568

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1063016962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 E JOHNSON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724051874",
            "telephone_number": "870-932-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S CHURCH ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012913",
            "telephone_number": "870-336-6450",
            "fax_number": "949-649-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "STEPHANIE",
        "middle_name": "P",
        "credential": "PMHNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2018022292",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "227517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.