NPIMap

Individual provider Active NPI

Kimber Nicole Jensen, APRN

  • Family Nurse Practitioner
  • Mountain Home, AR
National Provider Identifier
1376136176
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
212797 Issued in AR
Practice address
860 Highway 62 E Ste 10
Mountain Home, AR 72653-3200
Phone
(870) 424-3181
Fax
(870) 424-3089
NPI assigned
Feb 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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 212797 AR Primary

Addresses

Primary practice location

860 Highway 62 E Ste 10
Mountain Home, AR 72653-3200

Mailing address

860 Highway 62 E Ste 10
Mountain Home, AR 72653-3200
Phone (870) 424-3181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210720002824 AR Practitioner - Nurse Practitioner 3173926797 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter County Regional Hospital Inc Family Current Accepting new patients
Baxter Emergency Group PLLC CurrentSince Jul 1, 2021 Accepting new patients
Baxter County Regional Hospital Inc CurrentSince Oct 1, 2023 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Oct 1, 2023 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Baxter County Regional Hospital Inc Past Accepting new patients

Locations

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

228 Bucher Dr
Mountain Home, AR 72653
Phone (870) 425-4416

860 Highway 62 E
Ste 10
Mountain Home, AR 72653
Phone (870) 424-2224

Interoperability endpoints

  • Direct secure messaging: kimber.jensen@bhcawp.eclinicaldirectplus.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baxter County Regional Hospital Inc 75 clinicians

Practice addresses (Care Compare)

228 Bucher Dr
Mountain Home, AR 72653-3400
Phone (870) 425-4416

Hospital & facility affiliations

  • Baxter Health Hospital, Mountain Home, AR, CCN 040027

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1376136176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 HIGHWAY 62 E STE 10",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533200",
            "telephone_number": "870-424-3181",
            "fax_number": "870-424-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 HIGHWAY 62 E STE 10",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533200",
            "telephone_number": "870-424-3181",
            "fax_number": "870-424-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KIMBER",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "212797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.