Individual provider Active NPI

Stephanie Gage, APRN

  • Family Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1134738347
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
212594 Issued in AR
Practice address
1416 E Matthews Ave Ste 200
Jonesboro, AR 72401-4362
Phone
(870) 932-1820
Fax
(870) 972-6712
NPI assigned
Jul 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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 212594 AR Primary

Addresses

Primary practice location

1416 E Matthews Ave Ste 200
Jonesboro, AR 72401-4362

Mailing address

1010 S Main St
Jonesboro, AR 72401-3503
Phone (870) 932-1820

Other practice location 1

1010 S Main St
Jonesboro, AR 72401-3503
Phone (870) 932-1820

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.jonesboroortho.com Direct
CONNECT URL www.jonesboroortho.com Direct

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
I20200810003353 AR Practitioner - Nurse Practitioner 2466877295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dickson Orthopedics PAGroup PAC ID 9335114941, 14 clinicians

Practice addresses (Care Compare)

1010 S Main St
Jonesboro, AR 72401-4362
Phone (870) 932-1820

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dickson Orthopedics, PA Current Accepting new patients
Dickson Orthopedics, P.a. CurrentSince Aug 1, 2020 Accepting new patients
Spencer H. Guinn, M.D. P.a. PastSince Aug 2, 2020 Accepting new patients

Locations

1010 S Main St
Jonesboro, AR 72401
Phone (870) 932-1820

1416 E Matthews Ave
Ste 200
Jonesboro, AR 72401
Phone (870) 932-1820

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 1

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": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1134738347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S MAIN ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013503",
            "telephone_number": "870-932-1820",
            "fax_number": "870-972-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 E MATTHEWS AVE STE 200",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014362",
            "telephone_number": "870-932-1820",
            "fax_number": "870-972-6712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 S Main St",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724013503",
            "country_code": "US",
            "telephone_number": "870-932-1820",
            "fax_number": "870-972-6712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAGE",
        "first_name": "STEPHANIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "212594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.jonesboroortho.com",
            "affiliation": "N",
            "endpointDescription": "practice website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1416 E Matthews Ave Ste 200",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724014362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.jonesboroortho.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1010 S Main St",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724013503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.