Melinda Jo Hulett, APRN

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

S01118 Issued in AR

Practice address

1000 E Matthews Ave Ste E
Jonesboro, AR 72401-4344

Phone

(870) 336-0472

Fax

(870) 336-5321

NPI assigned

Jun 14, 2006

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

Other identifiers 1

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, 2004

Medicare assignment

May accept Medicare assignment

Group practices

Arkansas Department of Health Payroll OfficeGroup PAC ID 5799696779, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Arkansas Department of Health Payroll Office

  • Public Health or Welfare Agency
  • Little Rock, AR
  • NPI 1619195906
  Medicare reassignment Care Compare group
• Northeast Arkansas Clinic, PA

  dba NEA Clinic

  • Multi-Specialty Clinic/Center
  • Jonesboro, AR
  • NPI 1376517177
  NPD (past)
• State of Arkansas

  dba Arkansas State Hospital

  • Psychiatric Hospital
  • Little Rock, AR
  • NPI 1891808630
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1235172156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E MATTHEWS AVE STE E",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014344",
            "telephone_number": "870-336-0472",
            "fax_number": "870-336-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MATTHEWS AVE STE E",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014344",
            "telephone_number": "870-336-0472",
            "fax_number": "870-336-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULETT",
        "first_name": "MELINDA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "AR",
            "license": "S01118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177768758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Hughes
• Joseph Edward Hughes, MD
• Terry Mitchel Hughes Jr., CRNA
• Cortni Paige Hulett, PT, DPT
• Kevin A Hulett, DPT
• Omika L Humphery
• Judith Kathy Humphrey, M.C.D., CCC-SLP
• Valerie A Humphrey, LPN
• Casey L Humphries, CRNA
• Donald W Hunt, MHPP

• Adult Health Clinical Nurse Specialist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Adult Health Clinical Nurse Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.