Individual provider Active NPI

Mary Shannon Jones, APRN

  • Family Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1265460430
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A001694 Issued in AR
Practice address
3232 N Northhills Blvd
Fayetteville, AR 72703-4005
Phone
(479) 587-1700
Fax
(479) 587-1366
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 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 A001694 AR Primary

Addresses

Primary practice location

3232 N Northhills Blvd
Fayetteville, AR 72703-4005

Mailing address

3901 Parkway Cir Ste 100
Springdale, AR 72762-5328
Phone (149) 587-1700

Other practice location 1

3901 Parkway Cir Ste 100
Springdale, AR 72762-5328
Phone (149) 587-1700

Other identifiers 3

IdentifierTypeStateIssuer
158499758MedicaidAR
200522720AMedicaidOK
420010175MedicaidMO

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
I20040615001833 AR Practitioner - Nurse Practitioner 5799769915 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highlands Oncology Group PAGroup PAC ID 7416976196, 78 clinicians

Practice addresses (Care Compare)

3232 N Northhills Blvd
Highlands Oncology GRP Partner
Fayetteville, AR 72703-4005
Phone (479) 587-1700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A001694ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Oncology Group PA CurrentSince Nov 1, 2013 Accepting new patients
Highlands Oncology Group, PA CurrentSince Nov 1, 2013 Accepting new patients
Washington Regional Medical System CurrentSince Apr 1, 2011 Accepting new patients
Washington Regional Medical System CurrentSince Apr 1, 2011 Accepting new patients
Washington Regional Medical System CurrentSince Sep 1, 2012 Accepting new patients
Medical Associates of Northwest Arkansas PA Past Accepting new patients

Locations

3232 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 695-1199

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

639 Hospital Dr
Mountain Home, AR 72653
Phone (870) 624-1084

808 S 52nd St
Rogers, AR 72758
Phone (479) 878-1818

3901 Parkway Cir
Ste 100
Springdale, AR 72762
Phone (479) 313-6888

Interoperability endpoints

  • Direct secure messaging: mjones49720@washingtonregional.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1265460430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 PARKWAY CIR STE 100",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625328",
            "telephone_number": "149-587-1700",
            "fax_number": "479-587-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 N NORTHHILLS BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034005",
            "telephone_number": "479-587-1700",
            "fax_number": "479-587-1366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Parkway Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727625328",
            "country_code": "US",
            "telephone_number": "149-587-1700",
            "fax_number": "479-587-1366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARY",
        "middle_name": "SHANNON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A001694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158499758",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200522720A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420010175",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.