Individual provider Active NPI

Jill Lorraine Thitoff, APRN-CNP

  • Nurse Practitioner
  • Mountain Home, AR
National Provider Identifier
1205589058
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
218852 Issued in AR
Practice address
1100 Pinetree LN
Mountain Home, AR 72653-4502
Phone
(870) 232-0320
Fax
(870) 232-0326
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 218852 AR
Primary Care Nurse Practitioner 363LP2300X 218852 AR
Nurse Practitioner 363L00000X 218852 AR Primary

Addresses

Primary practice location

1100 Pinetree LN
Mountain Home, AR 72653-4502

Mailing address

1100 Pinetree LN
Mountain Home, AR 72653-4502
Phone (870) 232-0320

Other names 1

  • Jill Bounds Former name

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
I20220309001445 AR Practitioner - Nurse Practitioner 5799170791 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Medical Clinic Arkansas LTC LLCGroup PAC ID 0547618175, 141 clinicians

Practice addresses (Care Compare)

942 Hwy 65 N
Marshall, AR 72650-7772
Phone (888) 518-1418

Hospital & facility affiliations

  • Baxter Health Hospital, Mountain Home, AR, CCN 040027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
218852ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic Arkansas LLC CurrentSince Sep 9, 2023 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Jan 3, 2024 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Sep 9, 2023 Accepting new patients
Bradley Bibb MD PLLC CurrentSince Jan 10, 2024 Accepting new patients
Bradley Bibb MD PLLC CurrentSince Jan 10, 2024 Accepting new patients
Bradley Bibb MD PLLC Current Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Jan 3, 2024 Accepting new patients

Locations

49 Highway 62 412
Ste 412
Ash Flat, AR 72513

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

942 Highway 65 N
Marshall, AR 72650
Phone (870) 448-3577

1607 Highway 62 E
Mountain Home, AR 72653
Phone (870) 706-2353

3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080

106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014

Interoperability endpoints

  • Direct secure messaging: jill.thitoff.1@2424.direct.athenahealth.com
  • Direct secure messaging: jill.thitoff.1@29938.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15024/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jill.thitoff.1@15024.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1205589058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 PINETREE LN",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726534502",
            "telephone_number": "870-232-0320",
            "fax_number": "870-232-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PINETREE LN",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726534502",
            "telephone_number": "870-232-0320",
            "fax_number": "870-232-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THITOFF",
        "first_name": "JILL",
        "middle_name": "LORRAINE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "218852",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "218852",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "218852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "BOUNDS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.