Jennifer Diane Liles, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A004988 Issued in AR

Practice address

600 Memorial Dr
Bella Vista, AR 72714-1847

Phone

(479) 855-6165

NPI assigned

Jan 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy Health Northwest Arkansas CommunitiesGroup PAC ID 0648177873, 314 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Home Health Home health agency, Springdale, AR, CCN 047020
• Enhabit Home Health Home health agency, Springdale, AR, CCN 047172
• Mercy Home Health Home health agency, Rogers, AR, CCN 047149
• Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010
• Mercy Hospital Berryville Hospital, Berryville, AR, CCN 041329
• Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jliles198045@directc.mercy.net

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.

• Mercy Health Northwest Arkansas Communities

  • Multi-Specialty Clinic/Center
  • Rogers, AR
  • NPI 1265490916
  Medicare reassignment Care Compare group NPD
• Mercy Health Northwest Arkansas Communities

  • Family Medicine Physician
  • Springdale, AR
  • NPI 1407266760
  NPD
• Mercy Health Northwest Arkansas Communities

  • Endocrinology, Diabetes & Metabolism Physician
  • Rogers, AR
  • NPI 1770087371
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahm Action Home Health, LP

  • Home Health Agency
  • Springdale, AR
  • NPI 1215314299
  Care Compare affiliation
• Mercy Hospital Berryville

  • Critical Access Hospital
  • Berryville, AR
  • NPI 1457306326
  Care Compare affiliation
• Mercy Hospital Rogers

  • General Acute Care Hospital
  • Rogers, AR
  • NPI 1316902414
  Care Compare affiliation
• Mercy Hospital Rogers

  • Home Health Agency
  • Rogers, AR
  • NPI 1942265160
  Care Compare affiliation
• Northwest Arkansas Hospitals, LLC

  • General Acute Care Hospital
  • Springdale, AR
  • NPI 1699726695
  Care Compare affiliation
• Springdale Home Care Services LLC

  • Home Health Agency
  • Springdale, AR
  • NPI 1033161880
  Care Compare affiliation

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1174069611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MEMORIAL DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727141847",
            "telephone_number": "479-855-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEMORIAL DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727141847",
            "telephone_number": "479-855-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILES",
        "first_name": "JENNIFER",
        "middle_name": "DIANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Lee Lantz, COTA/L
• Mark S. Lee, MD
• Katherine Lentz, PHARMD
• Judy Ann Lewis, LCSW
• Jan Huneycutt Lightner
• Chenoa Nicole Lindsey, LPTA
• Callie Rose Linn, DPT
• Christopher J Long, RPTA
• Cynthia L Maguire, ND
• Karen Elise Maloney

• Family Nurse Practitioner in Bella Vista, AR
• Providers in Bella Vista, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.

Verify at the official NPI Registry.