Individual provider Active NPI

Jasmine Elise Hall

  • Nurse Practitioner
  • Harrison, AR
National Provider Identifier
1083315170
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
230731 Issued in AR
Practice address
808 US 65
Harrison, AR 72601
Phone
(870) 204-7263
NPI assigned
Mar 15, 2023
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11022660 FL
Nurse Practitioner 363L00000X 230731 AR Primary

Addresses

Primary practice location

808 US 65
Harrison, AR 72601

Mailing address

417 Colorado Dr
Mexico Beach, FL 32456-0109
Phone (870) 656-1961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240625002820 FL Practitioner - Nurse Practitioner 7012450596 Reassigns benefits to 1 organization
I20260114001918 AR Practitioner - Nurse Practitioner 7012450596 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

808 Hwy 62 65 N
Harrison, AR 72601-2151
Phone (870) 204-7263

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230731ARMDNurse Practitioner
APRN11022660FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Dec 23, 2024 Accepting new patients
Emerald Coast Rheumatology LLC CurrentSince Jun 1, 2024 Accepting new patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Dec 23, 2024 Accepting new patients

Locations (25 of 31)

1547 Harrison St
Batesville, AR 72501
Phone (870) 793-5000

2069 W Center St
Beebe, AR 72012
Phone (501) 628-9212

824 Military Rd
Benton, AR 72015
Phone (501) 574-3019

1301 S Walton Blvd
Bentonville, AR 72712
Phone (479) 367-3078

3304 Commonwealth Dr
Bryant, AR 72022
Phone (501) 205-7020

402 W Main St
Cabot, AR 72023
Phone (501) 628-9215

1065 Skyline Dr
Conway, AR 72032
Phone (501) 499-6222

222 E Dave Ward Dr
Conway, AR 72032
Phone (501) 505-8400

2069 N Crossover Rd
#2
Fayetteville, AR 72703
Phone (479) 718-6470

1910 S Zero St
Fort Smith, AR 72901
Phone (479) 259-9239

2801 Rogers Ave
Fort Smith, AR 72901
Phone (479) 226-8770

7600 Rogers Ave
Fort Smith, AR 72903
Phone (479) 226-8340

808 Highway 62 65 N
Harrison, AR 72601
Phone (870) 204-7263

3426 Central Ave
Hot Springs, AR 71913
Phone (501) 318-9895

201 Airport Rd
Hot Springs National Park, AR 71913
Phone (501) 547-9481

1813 T P White Dr
Jacksonville, AR 72076
Phone (501) 241-4510

11402 W Markham St
Little Rock, AR 72211
Phone (501) 425-7564

14524 Cantrell Rd
Ste 160
Little Rock, AR 72223
Phone (501) 482-3074

6805 Cantrell Rd
Little Rock, AR 72207
Phone (501) 260-7992

1306 N Center St
Lonoke, AR 72086
Phone (501) 676-6560

123 Audubon Dr
Ste 600
Maumelle, AR 72113
Phone (501) 734-0251

3550 Springhill Dr
North Little Rock, AR 72117
Phone (501) 205-7010

6134 Heber Springs Rd W
Quitman, AR 72131
Phone (501) 365-1059

2301 W Pleasant Grove Rd
Ste 101
Rogers, AR 72758
Phone (479) 326-8525

106 Weir Rd
Ste 4
Russellville, AR 72802
Phone (479) 567-5652

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3219/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 2

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": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1083315170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 COLORADO DR",
            "city": "MEXICO BEACH",
            "state": "FL",
            "postal_code": "324560109",
            "telephone_number": "870-656-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 US 65",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "870-204-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JASMINE",
        "middle_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11022660",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "230731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.