Individual provider Active NPI

Amanda Jayne Rogers, APRN

  • Primary Care Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1306365358
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
A005267 Issued in AR
Practice address
5904 Summerfield Dr
Texarkana, TX 75503-4306
Phone
(430) 200-4350
Fax
(866) 337-1615
NPI assigned
Sep 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X A005267 AR Primary

Addresses

Primary practice location

5904 Summerfield Dr
Texarkana, TX 75503-4306

Mailing address

5904 Summerfield Dr
Texarkana, TX 75503-4306
Phone (430) 200-4350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171121002528 AR Practitioner - Nurse Practitioner 9032476338 Reassigns benefits to 2 organizations
I20191203000258 TX Practitioner - Nurse Practitioner 9032476338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midsouth Transitions Arkansas PAGroup PAC ID 1153731005, 16 clinicians
Midsouth Homecare PLLCGroup PAC ID 3173051091, 7 clinicians
Midsouth Transitions Medical GroupGroup PAC ID 8628322831, 17 clinicians

Practice addresses (Care Compare)

Texarkana, AR 71854
Phone (430) 200-4350

Texarkana, TX 75503
Phone (430) 200-4350

5904 Summerfield Dr
Texarkana, TX 75503-4306
Phone (430) 200-4350

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Palestine, TX, CCN 458433

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005267ARMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midsouth Wound Care of Arkansas PLLC Primary Care CurrentSince Jun 3, 2025 Accepting new patients
Midsouth Homecare PLLC CurrentSince Jan 1, 2025 Accepting new patients
Midsouth Transitions Arkansas PA CurrentSince Aug 13, 2020 Accepting new patients
Arkansas Psychiatric Clinic Clinical Research Trials, PA CurrentSince Dec 1, 2018 Accepting new patients

Locations

4 Executive Center Ct
Little Rock, AR 72211
Phone (501) 448-0060

5904 Summerfield Dr
Texarkana, TX 75503
Phone (430) 200-4350

3002 Moores Ln
Texarkana, TX 75503
Phone (430) 200-0435

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1306365358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 SUMMERFIELD DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034306",
            "telephone_number": "430-200-4350",
            "fax_number": "866-337-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 SUMMERFIELD DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034306",
            "telephone_number": "430-200-4350",
            "fax_number": "866-337-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "AMANDA",
        "middle_name": "JAYNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "A005267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.