Jesse A Larbey, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-463 Issued in AR

Practice address

620 North Main
Harrison, AR 72601-2911

Phone

(870) 365-2000

NPI assigned

Jan 4, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Citizens Memorial HealthcareGroup PAC ID 4183528169, 144 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Citizens Memorial Hospital Hospital, Bolivar, MO, CCN 260195

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Citizens Memorial Healthcare

  • Surgery Physician
  • Bolivar, MO
  • NPI 1568566131

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Citizens Memorial Hospital District

  • Emergency Medicine Physician
  • Bolivar, MO
  • NPI 1558548818
  Medicare reassignment NPD
• Citizens Memorial Healthcare

  dba CMH Willard Medical Center

  • Rural Health Clinic/Center
  • Willard, MO
  • NPI 1568127397
  NPD
• Citizens Memorial Hospital District

  dba CMH Buffalo Community Pharmacy

  • Community/Retail Pharmacy
  • Buffalo, MO
  • NPI 1427480995
  NPD
• Skaggs Community Hospital Association

  dba CoxHealth Emergency Services

  • Emergency Medicine Physician
  • Branson, MO
  • NPI 1073686879
  NPD (past)

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

• Citizens Memorial Hospital District

  dba Citizens Memorial Hospital

  • General Acute Care Hospital
  • Bolivar, MO
  • NPI 1003981549
  Care Compare affiliation

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1194095448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012911",
            "telephone_number": "870-414-4760",
            "fax_number": "870-414-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 NORTH MAIN",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012911",
            "telephone_number": "870-365-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARBEY",
        "first_name": "JESSE",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-04",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE CROSS",
            "identifier": "5AJ41",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry Robert Landon, M.A.
• Melanie Lane-Davis, QBHP
• Dulcinea Marie Lane-Rogers
• James D Langston, M.D.
• Thomas A Langston, MD
• Chrissie Larchez, CADC
• Kina Lasater
• Kassandra Laughery, MHPP
• Alice R Laule, M.D.
• Holly G Lavalle-Rouse, MHPP

• Physician Assistant in Harrison, AR
• Providers in Harrison, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.