Individual provider Active NPI

Jennifer Oxford, APRN

  • Primary Care Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1114300100
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
A004438 Issued in AR
Practice address
2629 N Sierra Ave
Fayetteville, AR 72703-3370
Phone
(479) 445-3469
Fax
(877) 693-6271
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X A004438 AR Primary

Addresses

Primary practice location

2629 N Sierra Ave
Fayetteville, AR 72703-3370

Mailing address

2629 N Sierra Ave
Fayetteville, AR 72703-3370
Phone (479) 445-3469

Other identifiers 2

IdentifierTypeStateIssuer
21210758MedicaidAR
A004438OtherARAPRN CERTIFICATION

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
I20150912000063 AR Practitioner - Nurse Practitioner 7416264106 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Fayetteville, AR 72703
Phone (479) 445-3469

388 E Sunbridge Dr
Fayetteville, AR 72703-1868
Phone (479) 800-0011

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Springdale, AR, CCN 047172
  • Enhabit Home Health Home health agency, Springdale, AR, CCN 047170
  • Ozarks Community Hospital of Gravette Hospital, Gravette, AR, CCN 041331

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Arkansas Senior Care Specialists, PLLC Primary Care CurrentSince Feb 17, 2018 Accepting new patients
Image Medical PLLC Primary Care CurrentSince Jun 1, 2025 Accepting new patients

Locations

388 E Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 800-0011

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1114300100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 N SIERRA AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033370",
            "telephone_number": "479-445-3469",
            "fax_number": "877-693-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 N SIERRA AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033370",
            "telephone_number": "479-445-3469",
            "fax_number": "877-693-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OXFORD",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "A004438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21210758",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN CERTIFICATION",
            "identifier": "A004438",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.