Individual provider Active NPI

Allison Renee Gragg, APRN

  • Family Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1245712959
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005822 Issued in AR
Practice address
225 E Jackson Ave
Jonesboro, AR 72401-3119
Phone
(870) 207-4100
NPI assigned
Aug 30, 2018
Last updated
Aug 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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 A005822 AR Primary

Addresses

Primary practice location

225 E Jackson Ave
Jonesboro, AR 72401-3119

Mailing address

2010 Meadowood CV
Jonesboro, AR 72401-3643
Phone (870) 897-1418

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
I20181228001779 AR Practitioner - Nurse Practitioner 4183969702 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bradley Bibb MD PLLCGroup PAC ID 4789715285, 71 clinicians

Practice addresses (Care Compare)

202 Newsome Dr
AMC Marked Tree
Marked Tree, AR 72365-2021
Phone (870) 658-4355

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Bibb MD PLLC CurrentSince May 25, 2022 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Oct 10, 2022 Accepting new patients
Access Medical Clinic Arkansas LLC Single Specialty CurrentSince Oct 10, 2022 Accepting new patients
Bradley Bibb MD PLLC Single Specialty Current Accepting new patients
Bradley Bibb MD PLLC Single Specialty CurrentSince May 25, 2022 Accepting new patients
Icarepro of Texas, PA Single Specialty Past Accepting new patients
Bradley Bibb MD PLLC Past Accepting new patients
Bradley Bibb MD PLLC Past Accepting new patients

Locations

49 Highway 62 412
Ash Flat, AR 72513
Phone (573) 718-2570

49 Highway 62 412
Ste 412
Ash Flat, AR 72513

104 W State St
Caraway, AR 72419
Phone (870) 219-7706

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

202 Newsome Dr
Marked Tree, AR 72365
Phone (870) 358-4355

106 Highway 62 W
Salem, AR 72576
Phone (870) 895-2762

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

Interoperability endpoints

  • Direct secure messaging: allison.gragg.1@2424.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, 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": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1245712959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 MEADOWOOD CV",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013643",
            "telephone_number": "870-897-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E JACKSON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013119",
            "telephone_number": "870-207-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAGG",
        "first_name": "ALLISON",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.