Active NPI
Jayna J. Monical, FNP-BC
- Family Nurse Practitioner
- Centerton, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 222403
- Practice address
- 1225 E Centerton Blvd
Centerton, AR 72719-1225 - Phone
- (479) 795-1301
- Fax
- (479) 795-1304
- NPI assigned
- Apr 5, 2010
- Last updated
- Jan 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2010009034 | MO | |
| Family Nurse Practitioner | 363LF0000X | 222403 | AR | Primary |
Addresses
Primary practice location
1225 E Centerton Blvd
Centerton, AR 72719-1225
Mailing address
1225 E Centerton Blvd
Centerton, AR 72719-1225
Phone (479) 795-1301
Other practice location 1
802 Monroe St
Saint Joseph, MO 64505-1998
Phone (816) 261-8319
Other practice location 2
1510 Duncan St
Saint Joseph, MO 64503-2600
Phone (816) 271-8850
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124343074 | Medicaid | MO | |
| 200641220A | Medicaid | KS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010009034 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients |
Locations
1 Mercy Way
Ste 20
Bella Vista, AR 72714
Phone (479) 802-5555
2900 SE Moberly Ln
Bentonville, AR 72712
Phone (479) 273-1550
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
1225 E Centerton Blvd
Centerton, AR 72719
Phone (479) 795-1301
325 S 6th Pl
Lowell, AR 72745
Phone (479) 636-9234
200 Carr St
Pea Ridge, AR 72751
Phone (479) 488-6415
2708 S Rife Medical Ln
Ste 130
Rogers, AR 72758
Phone (479) 338-5555
4600 Mercy Ln
Springdale, AR 72762
Phone (479) 338-2911
4600 Mercy Ln
Ste 140
Springdale, AR 72762
Phone (479) 347-3905
4780 Elm Springs Rd
Springdale, AR 72762
Interoperability endpoints
- jayna.monical@direct.mymlc.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.
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Multi-Specialty Clinic/Center
- Bella Vista, AR
- NPI 1396173514
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1124343074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 E CENTERTON BLVD",
"city": "CENTERTON",
"state": "AR",
"postal_code": "727191225",
"telephone_number": "479-795-1301",
"fax_number": "479-795-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 E CENTERTON BLVD",
"city": "CENTERTON",
"state": "AR",
"postal_code": "727191225",
"telephone_number": "479-795-1301",
"fax_number": "479-795-1304"
}
],
"practiceLocations": [
{
"address_1": "802 Monroe St",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MO",
"postal_code": "645051998",
"country_code": "US",
"telephone_number": "816-261-8319",
"fax_number": "816-671-9321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1510 Duncan St",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MO",
"postal_code": "645032600",
"country_code": "US",
"telephone_number": "816-271-8850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONICAL",
"first_name": "JAYNA",
"middle_name": "J.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-05",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2010009034",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "222403",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124343074",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200641220A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centerton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.