Individual provider Active NPI

Jessica Houser, NP-C

  • Family Nurse Practitioner
  • Lockesburg, AR
National Provider Identifier
1124584503
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A006106 Issued in AR
Practice address
101 W Main
Lockesburg, AR 71846-9621
Phone
(870) 289-0001
Fax
(870) 289-0002
NPI assigned
Feb 11, 2019
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A006106 AR Primary

Addresses

Primary practice location

101 W Main
Lockesburg, AR 71846-9621

Mailing address

105 S Park Ave
Lockesburg, AR 71846-9629
Phone (870) 784-2179

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
I20190513000638 AR Practitioner - Nurse Practitioner 0648513739 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 W Main
Lockesburg, AR 71846-9621
Phone (870) 289-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A006106ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Randy D. Walker, M.D., P.L.L.C. CurrentSince Apr 20, 2020 Accepting new patients
Hot Springs Interventional Pain Management PA CurrentSince Aug 7, 2019 Accepting new patients
Jessica a Houser PLLC Family CurrentSince Jul 1, 2022 Accepting new patients

Locations

1 Mercy Ln
Ste 304
Hot Springs National Park, AR 71913
Phone (501) 321-4772

1010 Arkansas Blvd
Texarkana, AR 71854
Phone (501) 321-4772

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEFHCA
  • Direct secure messaging: j.houser@aipm.curemd.direct-ci.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.

Hospital & facility affiliations 6

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": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1124584503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S PARK AVE",
            "city": "LOCKESBURG",
            "state": "AR",
            "postal_code": "718469629",
            "telephone_number": "870-784-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MAIN",
            "city": "LOCKESBURG",
            "state": "AR",
            "postal_code": "718469621",
            "telephone_number": "870-289-0001",
            "fax_number": "870-289-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSER",
        "first_name": "JESSICA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A006106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockesburg, AR

Sources for this page

Verify at the official NPI Registry.