Jaydon McKinnah Peterson, APRN

Primary specialty

Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X

License

226537 Issued in AR

Practice address

1 Mercy LN Ste 401
Hot Springs, AR 71913-6441

Phone

(501) 623-5220

NPI assigned

Dec 25, 2023

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpeterson1043834@directb.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.

• CHI St. Vincent Medical Group Hot Springs

  • Specialist
  • Hot Springs, AR
  • NPI 1831387117
  Medicare reassignment NPD
• Hot Springs MRI Center

  • Magnetic Resonance Imaging Radiologic Technologist
  • Hot Springs, AR
  • NPI 1801896410
  NPD (past)

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

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1194594788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MERCY LN STE 401",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136441",
            "telephone_number": "501-623-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCY LN STE 401",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136441",
            "telephone_number": "501-623-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JAYDON",
        "middle_name": "MCKINNAH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "AR",
            "license": "226537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Perkins
• Raelee Perry, CRT
• Betty S Peters, MSN FNP
• Jarmil Alyssa Peters, MD
• David Kim Peterson, LPC
• Cristy Petrishen, LPC
• Carly Pettit
• Donna Pettry
• Terri L. Petty, LPC
• Pharmedic, Inc

• Critical Care Medicine Nurse Practitioner in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Critical Care Medicine Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.