Individual provider Active NPI

Colleen Michelle Janes, APRN

  • Family Nurse Practitioner
  • Texarkana, AR
National Provider Identifier
1326544305
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005591 Issued in AR
Practice address
4077 Jefferson Ave
Texarkana, AR 71854-1509
Phone
(870) 330-9200
NPI assigned
Mar 30, 2018
Last updated
Nov 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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 A005591 AR Primary

Addresses

Primary practice location

4077 Jefferson Ave
Texarkana, AR 71854-1509

Mailing address

PO Box 740
De Queen, AR 71832-0740
Phone (870) 584-3000

Other practice location 1

1553 W Collin Raye Dr
DE Queen, AR 71832-3801
Phone (870) 584-3000

Other practice location 2

1805 Highway 71 S
Mena, AR 71953-3932
Phone (999) 999-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX, OK3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180523000268 AR Practitioner - Nurse Practitioner 3577828516 Reassigns benefits to 3 organizations
I20230926004240 TX Practitioner - Nurse Practitioner 3577828516 Reassigns benefits to 3 organizations
I20260203001307 OK Practitioner - Nurse Practitioner 3577828516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Express, LLPGroup PAC ID 9739131442, shared by 7 NPIs, 68 clinicians
Randy D Walker, MD, PLLCGroup PAC ID 0345468724, 9 clinicians
Northeast Texas Emergency Physicians PLLCGroup PAC ID 8527420306, 195 clinicians

Practice addresses (Care Compare)

1021 W Collin Raye Dr
Dequeen, AR 71832-2027
Phone (870) 518-0028

1553 W Collin Raye Dr
De Queen, AR 71832-3801
Phone (870) 584-3000

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000

711 E End Blvd S
Healthcare Express
Marshall, TX 75670-5615
Phone (903) 938-4363

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005591ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Texas Emergency Physicians, PLLC CurrentSince Aug 5, 2023 Accepting new patients
Healthcare Express, LLP CurrentSince Nov 1, 2024 Accepting new patients
Healthcare Express, LLP Current Accepting new patients
Healthcare Express, LLP Current Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Apr 18, 2023 Accepting new patients
Healthcare Express, LLP CurrentSince Nov 1, 2024 Accepting new patients
Ies ER Oklahoma LLC CurrentSince Jan 1, 2026 Accepting new patients
Union Emergency Physicians, PLLC CurrentSince Aug 5, 2023 Accepting new patients
Randy D. Walker, M.D., P.L.L.C. CurrentSince Apr 11, 2018 Accepting new patients
Healthcare Express, LLP CurrentSince Nov 1, 2024 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Apr 18, 2023 Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Healthcare Express, LLP Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients

Locations

23150 Interstate 30 N
Bryant, AR 72022
Phone (501) 888-9047

1014 W Collin Raye Dr
De Queen, AR 71832
Phone (580) 286-2947

1021 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 433-0790

806 E Main St
Flippin, AR 72634
Phone (870) 219-7706

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

1805 Highway 71 S
Mena, AR 71953
Phone (479) 385-2826

106 Highway 62 W
Salem, AR 72576
Phone (870) 895-2762

1554 Country Club Rd
Sherwood, AR 72120
Phone (501) 500-1012

125 Arkansas Blvd
Texarkana, AR 71854
Phone (870) 772-9355

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000

1509 W Loop 281
Longview, TX 75604
Phone (903) 759-9355

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

711 E End Blvd S
Marshall, TX 75670
Phone (903) 938-4363

1004 S Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 717-3418

3515 Richmond Rd
Texarkana, TX 75503
Phone (903) 831-7270

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

4701 W 7th St
Wake Village, TX 75501
Phone (903) 831-4065

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEFHCA

Organizations & group practices 17

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 17

Hospital & facility affiliations 5

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": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1326544305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718320740",
            "telephone_number": "870-584-3000",
            "fax_number": "870-584-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 JEFFERSON AVE",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541509",
            "telephone_number": "870-330-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1553 W Collin Raye Dr",
            "address_purpose": "LOCATION",
            "city": "DE Queen",
            "state": "AR",
            "postal_code": "718323801",
            "country_code": "US",
            "telephone_number": "870-584-3000",
            "fax_number": "870-584-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 Highway 71 S",
            "address_purpose": "LOCATION",
            "city": "Mena",
            "state": "AR",
            "postal_code": "719533932",
            "country_code": "US",
            "telephone_number": "999-999-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANES",
        "first_name": "COLLEEN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, AR

Sources for this page

Verify at the official NPI Registry.