Active NPI
Karen J Reinertsen, M.D.
- Psychiatry Physician
- Paragould, AR
National Provider Identifier
1336141902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- E-6966
- Practice address
- 28 Southpointe Dr
Paragould, AR 72450-6238 - Phone
- (870) 239-2244
- Fax
- (870) 236-1616
- NPI assigned
- Aug 12, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 16594 | NE | |
| Psychiatry Physician | 2084P0800X | E-6966 | AR | Primary |
Addresses
Primary practice location
28 Southpointe Dr
Paragould, AR 72450-6238
Mailing address
2707 Browns LN
Jonesboro, AR 72401-7213
Phone (870) 972-4939
Other practice location 1
701 Arkansas Blvd
Texarkana, AR 71854-2105
Phone (870) 772-5028
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5AJ66G677 | Other | AR | MEDICARE |
| 03825 | Other | NE | BLUE CROSS BLUE SHIELD NE |
| 5H936 | Other | AR | BLUE CROSS AR |
| 186894001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16594 | NE | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arisa Health, Inc. | Current | Accepting new patients | |
| Arisa Health, Inc. | Psychiatry | Current | Accepting new patients |
Locations
2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000
28 Southpointe Dr
Paragould, AR 72450
Phone (870) 239-2244
2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Jonesboro, AR
- NPI 1306532767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552780800000",
"number": "1336141902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2707 BROWNS LN",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724017213",
"telephone_number": "870-972-4939",
"fax_number": "870-972-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 SOUTHPOINTE DR",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724506238",
"telephone_number": "870-239-2244",
"fax_number": "870-236-1616"
}
],
"practiceLocations": [
{
"address_1": "701 Arkansas Blvd",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "AR",
"postal_code": "718542105",
"country_code": "US",
"telephone_number": "870-772-5028",
"fax_number": "870-772-2138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REINERTSEN",
"first_name": "KAREN",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-12",
"last_updated": "2019-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NE",
"license": "16594",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AR",
"license": "E-6966",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "5AJ66G677",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NE",
"identifier": "03825",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AR",
"identifier": "5H936",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186894001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.