Active NPI
Jessica Renae Hatfield, APRN
- Nurse Practitioner
- Fayetteville, AR
National Provider Identifier
1346901444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 217978
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 217978 | AR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Circle of Life | Current | 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.
-
- Community Based Hospice Care Agency
- Springdale, AR
- NPI 1386755460
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2022; 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.