Individual provider Active NPI

Zakery Jenkins, APRN, PMHNP - BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Springdale, AR
National Provider Identifier
1154131431
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
123731 Issued in AR
Practice address
700 N 40TH St Ste B
Springdale, AR 72762-0633
Phone
(479) 318-2828
Fax
(479) 318-2683
NPI assigned
Jan 9, 2025
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 123731 AR Primary

Addresses

Primary practice location

700 N 40TH St Ste B
Springdale, AR 72762-0633

Mailing address

1009 E 1St St
Mountain Home, AR 72653-3759
Phone (870) 404-6678

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
I20251122001046 AR Practitioner - Nurse Practitioner 0648762195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Wellness and Mental Health, LLCGroup PAC ID 5698016897, 9 clinicians

Practice addresses (Care Compare)

303 W Newman Ave
Harrison, AR 72601-5839
Phone (479) 318-2828

700 N 40TH St
Suite B
Springdale, AR 72762-0633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123731ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wellness and Mental Health, LLC Psychiatric/Mental Health CurrentSince Nov 5, 2025 Accepting new patients

Locations

303 W Newman Ave
Harrison, AR 72601
Phone (479) 318-2828

401 N 8th St
Unit 58
Rogers, AR 72757
Phone (479) 318-2828

700 N 40th St
Ste B
Springdale, AR 72762
Phone (479) 318-2828

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1154131431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 E 1ST ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533759",
            "telephone_number": "870-404-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N 40TH ST STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620633",
            "telephone_number": "479-318-2828",
            "fax_number": "479-318-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ZAKERY",
        "credential": "APRN, PMHNP - BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "123731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.