Individual provider Active NPI

Jacob Aaron Roberts, DO

  • Emergency Medicine Physician
  • Harrison, AR
National Provider Identifier
1265474472
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E-6639 Issued in AR
Practice address
620 North Main
Harrison, AR 72601-2926
Phone
(870) 365-2000
Fax
(360) 738-6377
NPI assigned
Jun 12, 2006
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-6639 AR Primary
Emergency Medicine Physician 207P00000X OP00002055 WA
Emergency Medicine Physician 207P00000X 2008004927 MO

Addresses

Primary practice location

620 North Main
Harrison, AR 72601-2926

Mailing address

505 S 336TH St
Suite 600
Federal Way, WA 98003-6328
Phone (253) 838-6180

Other practice location 1

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone (417) 256-9111

Other practice location 2

1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-8899

Other identifiers 6

IdentifierTypeStateIssuer
8448532MedicaidWA
0207213OtherWALIWA
1153ROOtherWABSWA
1771ROOtherWABSWA
85490OtherAR BLUE CROSS
0207212OtherWALIWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081007000686 MO Practitioner - Emergency Medicine 7517975071 Reassigns benefits to 20 organizations
I20140512000987 AR Practitioner - Emergency Medicine 7517975071 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians
Eureka Springs Hospital CommissionGroup PAC ID 7214367218, 15 clinicians

Practice addresses (Care Compare)

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2600

24 Norris St
Eureka Springs, AR 72632-3541
Phone (479) 253-7400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
E-6639ARMDEmergency Medicine Physician
2008004927MOMDEmergency Medicine Physician
OP00002055WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Carthage Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Mercy St. Francis Hospital CurrentSince Feb 14, 2023 Accepting new patients
Mercy Hospital Springfield CurrentSince Jan 1, 2023 Accepting new patients
Mercy St. Francis Hospital CurrentSince Feb 14, 2023 Accepting new patients
Mercy Clinic Joplin LLC Family Medicine CurrentSince May 31, 2022 Accepting new patients
Mercy Hospital Springfield CurrentSince Jan 1, 2023 Accepting new patients
Mercy Hospital Cassville CurrentSince May 11, 2017 Accepting new patients
Cox-Monett Hospital, Inc. Current Accepting new patients
Mercy Clinic Joplin LLC Family Medicine CurrentSince May 31, 2022 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Nov 18, 2025 Accepting new patients
Mercy Hospital Cassville CurrentSince May 11, 2017 Accepting new patients
Mercy Hospital Aurora CurrentSince May 11, 2017 Accepting new patients
Skaggs Community Hospital Association Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
Skaggs Community Hospital Association Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Michael S. Clarke, M.D., P.a. Current Accepting new patients
North Arkansas Regional Medical Center Current Accepting new patients
Citizens Memorial Hospital District CurrentSince Jan 11, 2026 Accepting new patients
Mercy Hospital Aurora CurrentSince May 11, 2017 Accepting new patients
Texas County Memorial Hospital Family Medicine CurrentSince Aug 27, 2022 Accepting new patients
Citizens Memorial Hospital District Emergency Medicine CurrentSince Jan 11, 2026 Accepting new patients
Mercy Hospital Carthage Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Eureka Springs Hospital Commission CurrentSince Jan 12, 2026 Accepting new patients
Cox-Monett Hospital, Inc. Emergency Medicine CurrentSince Sep 16, 2023 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Feb 1, 2014 Accepting new patients
Texas County Memorial Hospital Emergency Medicine CurrentSince Aug 27, 2022 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Feb 1, 2014 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Nov 18, 2025 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Nov 18, 2025 Accepting new patients
Ozark Health, Inc Current Accepting new patients
Tacoma Emergency Medicine Associates PC Emergency Medicine Past Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Northwest Physician Associates, Apc Emergency Medicine Past Accepting new patients

Locations

2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000

24 Norris St
Eureka Springs, AR 72632
Phone (479) 253-7400

620 N Main St
Harrison, AR 72601
Phone (870) 365-2000

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269

100 W US Highway 60
Mountain View, MO 65548
Phone (417) 934-7000

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Interoperability endpoints

  • Direct secure messaging: jacob.roberts@cernerdirect.coxhealth.com

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1265474472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S 336TH ST",
            "address_2": "SUITE 600",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036328",
            "telephone_number": "253-838-6180",
            "fax_number": "253-838-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 NORTH MAIN",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012926",
            "telephone_number": "870-365-2000",
            "fax_number": "360-738-6377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 N Kentucky Ave",
            "address_purpose": "LOCATION",
            "city": "West Plains",
            "state": "MO",
            "postal_code": "657752029",
            "country_code": "US",
            "telephone_number": "417-256-9111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-458-8899",
            "fax_number": "573-341-5611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JACOB",
        "middle_name": "AARON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-6639",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "OP00002055",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2008004927",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8448532",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIWA",
            "identifier": "0207213",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSWA",
            "identifier": "1153RO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSWA",
            "identifier": "1771RO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE CROSS",
            "identifier": "85490",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIWA",
            "identifier": "0207212",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.