Individual provider Active NPI

Stefanie Renee Lesley, APRN

  • Family Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1225512635
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005905 Issued in AR
Practice address
1812 Pleasant Grove Rd Ste B
Jonesboro, AR 72405-7870
Phone
(870) 898-0088
Fax
(800) 894-8806
NPI assigned
Sep 20, 2018
Last updated
Aug 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A005905 AR Primary

Addresses

Primary practice location

1812 Pleasant Grove Rd Ste B
Jonesboro, AR 72405-7870

Mailing address

1812 Pleasant Grove Rd Ste B
Jonesboro, AR 72405-7870
Phone (501) 243-4208

Other names 1

  • Stefanie Brackin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181105001071 AR Practitioner - Nurse Practitioner 5092068205 Reassigns benefits to 3 organizations
I20250820004562 MO Practitioner - Nurse Practitioner 5092068205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

217 W Church St
Mascoutah, IL 62258-1839

5801 Wendy St
Paragould, AR 72450-4039

Merit-based Incentive Payment System (MIPS)

Final score
75.65 of 100Reported as group
Quality
44.87
Promoting interoperability
100
Improvement activities
40
Cost
73.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005905ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hopeful Healing Inc CurrentSince May 1, 2026 Accepting new patients
Wound Solutions of Nea, LLC CurrentSince Sep 1, 2024 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Wound Solutions of Semo LLC CurrentSince Aug 1, 2025 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Oct 1, 2018 Accepting new patients

Locations

1021 Neil Dr
Ste 100
Jonesboro, AR 72401
Phone (870) 898-0088

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

1812 Pleasant Grove Rd
#B
Jonesboro, AR 72405
Phone (870) 275-9494

1812 Pleasant Grove Rd
Ste 102
Jonesboro, AR 72405

4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820

1231 1st St
Ste 8
Kennett, MO 63857
Phone (573) 888-8424

Organizations & group practices 6

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": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1225512635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 PLEASANT GROVE RD STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724057870",
            "telephone_number": "501-243-4208",
            "fax_number": "833-455-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 PLEASANT GROVE RD STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724057870",
            "telephone_number": "870-898-0088",
            "fax_number": "800-894-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLEY",
        "first_name": "STEFANIE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "BRACKIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.