Active NPI
Stephanie Gage, APRN
- Family Nurse Practitioner
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 212594
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickson Orthopedics, PA | Current | Accepting new patients | |
| Dickson Orthopedics, P.a. | Current | Accepting new patients | |
| Spencer H. Guinn, M.D. P.a. | Past | 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.
-
dba Jonesboro Orthopedics and Sports Medicine
- Orthopaedic Surgery Physician
- Jonesboro, AR
- NPI 1063487809
-
dba Jonesboro Orthopedics and Sports Medicine
- Surgical Physician Assistant
- Jonesboro, AR
- NPI 1033650817
-
- Orthopaedic Surgery Physician
- Jonesboro, AR
- NPI 1003881855
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Bernards Medical Center
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1922043686
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.