Active NPI
Jacob Aaron Roberts, DO
- Emergency Medicine Physician
- Harrison, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- E-6639
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8448532 | Medicaid | WA | |
| 0207213 | Other | WA | LIWA |
| 1153RO | Other | WA | BSWA |
| 1771RO | Other | WA | BSWA |
| 85490 | Other | AR BLUE CROSS | |
| 0207212 | Other | WA | LIWA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Communities
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.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-6639 | AR | MD | Emergency Medicine Physician |
| 2008004927 | MO | MD | Emergency Medicine Physician |
| OP00002055 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Carthage | Emergency Medicine | Current | Accepting new patients |
| Mercy St. Francis Hospital | Current | Accepting new patients | |
| Mercy Hospital Springfield | Current | Accepting new patients | |
| Mercy St. Francis Hospital | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Family Medicine | Current | Accepting new patients |
| Mercy Hospital Springfield | Current | Accepting new patients | |
| Mercy Hospital Cassville | Current | Accepting new patients | |
| Cox-Monett Hospital, Inc. | Current | Accepting new patients | |
| Mercy Clinic Joplin LLC | Family Medicine | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Family Medicine | Current | Accepting new patients |
| Mercy Hospital Cassville | Current | Accepting new patients | |
| Mercy Hospital Aurora | Current | Accepting new patients | |
| Skaggs Community Hospital Association | Emergency Medicine | Current | Accepting new patients |
| Skaggs Community Hospital Association | Family Medicine | Current | 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 | Current | Accepting new patients | |
| Mercy Hospital Aurora | Current | Accepting new patients | |
| Texas County Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Citizens Memorial Hospital District | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Carthage | Family Medicine | Current | Accepting new patients |
| Eureka Springs Hospital Commission | Current | Accepting new patients | |
| Cox-Monett Hospital, Inc. | Emergency Medicine | Current | Accepting new patients |
| North Arkansas Regional Medical Center | Current | Accepting new patients | |
| Texas County Memorial Hospital | Emergency Medicine | Current | Accepting new patients |
| North Arkansas Regional Medical Center | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Family Medicine | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Family Medicine | Current | 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
- 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.
-
- Rural Acute Care Hospital
- Eureka Springs, AR
- NPI 1609403690
-
dba North Arkansas Emergency Physicians Group
- Emergency Medical Services (Emergency Medicine) Physician
- Harrison, AR
- NPI 1801067657
-
dba Ozark Health Medical Center
- Critical Access Hospital
- Clinton, AR
- NPI 1992760342
-
- Emergency Medicine Physician
- Bolivar, MO
- NPI 1558548818
-
- Critical Access Hospital
- Monett, MO
- NPI 1194757500
-
dba Cox Monett Hospital
- Emergency Medicine Physician
- Monett, MO
- NPI 1669687125
-
- Family Medicine Physician
- Joplin, MO
- NPI 1215264817
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
Family Medicine
-
- Critical Access Hospital
- Aurora, MO
- NPI 1467543090
-
- Critical Access Hospital
- Cassville, MO
- NPI 1285676932
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Eureka Springs, AR
- NPI 1609403690
-
dba Mercy Emergency Medical Services-Carroll County
- Land Ambulance
- Green Forest, AR
- NPI 1477756609
Hospital
-
dba Emergency Medical Service Pro Fee
- Land Ambulance
- Harrison, AR
- NPI 1013907682
Hospital
-
- General Acute Care Hospital
- Harrison, AR
- NPI 1275523912
-
- Critical Access Hospital
- Monett, MO
- NPI 1194757500
-
dba Mercy Life Line
- Air Ambulance
- Branson West, MO
- NPI 1144430760
Hospital
-
dba Mercy Emergency Medical Services-Mt. Vernon
- Land Ambulance
- Mount Vernon, MO
- NPI 1427279173
Hospital
-
dba Mercy Emergency Medical Services-Camden County
- Land Ambulance
- Camdenton, MO
- NPI 1477765204
Hospital
-
dba Mercy Emergency Medical Services-Shannon County
- Land Ambulance
- Winona, MO
- NPI 1538380654
Hospital
-
dba Mercy Emergency Medical Services-Cedar County
- Land Ambulance
- Stockton, MO
- NPI 1558573386
Hospital
-
dba Mercy Emergency Medical Services
- Land Ambulance
- Springfield, MO
- NPI 1558573410
Hospital
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.