Individual provider Active NPI

Lisa Bennett, CNP

  • Family Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1356840086
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005515 Issued in AR
Practice address
225 E Jackson
Jonesboro, AR 72401
Phone
(870) 207-4100
NPI assigned
Feb 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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 A005515 AR Primary

Addresses

Primary practice location

225 E Jackson
Jonesboro, AR 72401

Mailing address

225 E Jackson Ave
Jonesboro, AR 72401-3119

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
I20180410000797 AR Practitioner - Nurse Practitioner 5799048542 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

333 Red Wolf Blvd
Jonesboro, AR 72405-9739
Phone (870) 972-8181

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Health Group, Inc CurrentSince Dec 1, 2024 Accepting new patients
Five Rivers Medical Center Inc. Current Accepting new patients
Five Rivers Medical Center CurrentSince Sep 1, 2025 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
Five Rivers Medical Center Inc. CurrentSince Sep 1, 2025 Accepting new patients
St Bernards Hospital Inc. CurrentSince Apr 5, 2018 Accepting new patients
Doctors Health Group, Inc CurrentSince Dec 1, 2024 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Dec 1, 2024 Accepting new patients
St Bernards Physician Clinics, Inc. CurrentSince Dec 1, 2024 Accepting new patients

Locations

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

333 Red Wolf Blvd
Jonesboro, AR 72405
Phone (870) 933-1823

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

225 E Jackson Ave
Jonesboro, AR 72401
Phone (870) 207-1630

1001 W Parker Rd
Jonesboro, AR 72404
Phone (870) 336-1700

4000 Linwood Dr
Ste A
Paragould, AR 72450
Phone (870) 239-8503

1 Medical Dr
Ste 100
Paragould, AR 72450
Phone (870) 236-2000

2801 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-6000

Organizations & group practices 9

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": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1356840086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E JACKSON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E JACKSON",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-207-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "LISA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.