Individual provider Active NPI

Jessica Wood, APRN

  • Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1124432455
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A004101 Issued in AR
Practice address
2524 Alexander Dr Ste D
Jonesboro, AR 72401-7175
Phone
(870) 336-0232
Fax
(870) 336-0251
NPI assigned
Jun 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A004101 AR Primary

Addresses

Primary practice location

2524 Alexander Dr Ste D
Jonesboro, AR 72401-7175

Mailing address

2524 Alexander Dr Ste D
Jonesboro, AR 72401-7175
Phone (870) 336-0232

Other identifiers 1

IdentifierTypeStateIssuer
204398758MedicaidAR

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
I20140723000053 AR Practitioner - Nurse Practitioner 8224254529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2524 Alexander Dr
Suite D
Jonesboro, AR 72401-7175
Phone (870) 919-2874

Hospital & facility affiliations

  • Elite Home Health Home health agency, Marion, AR, CCN 047122
  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
  • Baptist Memorial Hospital Jonesboro, Inc. Hospital, Jonesboro, AR, CCN 040118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A004101ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wood Primary Care Clinic PLLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

2524 Alexander Dr
Ste D
Jonesboro, AR 72401
Phone (870) 336-2232

Interoperability endpoints

  • Direct secure messaging: jessica.wood.1@26831.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26831/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1402704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1124432455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 ALEXANDER DR STE D",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017175",
            "telephone_number": "870-336-0232",
            "fax_number": "870-336-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 ALEXANDER DR STE D",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017175",
            "telephone_number": "870-336-0232",
            "fax_number": "870-336-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JESSICA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-14",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A004101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204398758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.