John T Cherry, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · North Little Rock, AR
NPI 1245912898 · NPPES record last updated Aug 3, 2023
Key facts
- NPI
- 1245912898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 225692 (AR)
- Practice address
- 3600 Richards Rd
North Little Rock, AR 72117-2921 - Phone
- (718) 506-1115
- NPI assigned
- Aug 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Psychiatry of Texas PLLC
Practice addresses (Care Compare)
212 Willie Ray Dr
Cabot, AR 72023-9171
Phone 8328694818235
Hospital & facility affiliations
- Northwest Medical Center-Springdale
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230818002714 | AR | Practitioner - Nurse Practitioner | 9931561164 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Single Specialty | Current |
Accepting new patients |
| Supportive Psych Care of Arkansas PA | Single Specialty | Current |
Accepting new patients |
| Arkansas Health Group | Single Specialty | Current |
Accepting new patients |
| Arkansas Health Group | Single Specialty | Past | Accepting new patients |
Locations
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
811 W Elgin St
Siloam Springs, AR 72761
Phone (479) 524-3128
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Interoperability endpoints
- jcherry722353@direct.baptist-healthar.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | 225692 | AR | Yes |
Addresses
Primary practice location
3600 Richards Rd
North Little Rock, AR 72117-2921
Mailing address
312 Burnside Dr
Little Rock, AR 72205-2233
Other providers in North Little Rock, AR
- Karen M. Chase
- Makyra Chatman
- Chayim Kavanah Wellness LLC
- John T Cheairs
- Jeffrey Scott Cheek
- Jennifer Chery
- Angela Denise Cheves
- Sarah Elizabeth Childers
- Kim Childress
- Adama Chisley
All providers in North Little Rock, AR · Psychiatric/Mental Health Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.