Individual provider Active NPI

Jessica Renae Hatfield, APRN

  • Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1346901444
Registry record updated Jan 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
217978 Issued in AR
Practice address
325 E Longview St
Fayetteville, AR 72703-4618
Phone
(479) 463-7385
NPI assigned
Jan 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 217978 AR Primary

Addresses

Primary practice location

325 E Longview St
Fayetteville, AR 72703-4618

Mailing address

2311 Pinewood Ave
Lowell, AR 72745-5009
Phone (479) 305-1179

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeha130@medxssl.com Direct Washington Regional Medical System

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260311003688 AR Practitioner - Nurse Practitioner 1658854237

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

901 Jones Rd
Springdale, AR 72762-0875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
217978ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Circle of Life CurrentSince Jan 19, 2026 Accepting new patients

Locations

901 Jones Rd
Springdale, AR 72762
Phone (479) 750-6632

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1640995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640995200000",
    "number": "1346901444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 PINEWOOD AVE",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727455009",
            "telephone_number": "479-305-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E LONGVIEW ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034618",
            "telephone_number": "479-463-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "JESSICA",
        "middle_name": "RENAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-01",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "217978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeha130@medxssl.com",
            "affiliation": "Y",
            "endpointDescription": "M.E.D.X.",
            "affiliationName": "Washington Regional Medical System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "325 E Longview St",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727034618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.