Active NPI
Jasmin Ann Lease, PA-C
- Physician Assistant
- Benton, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-349
- Practice address
- 2010 Active Way
Benton, AR 72019-7566 - Phone
- (501) 315-0984
- Fax
- (501) 847-1405
- NPI assigned
- Sep 15, 2008
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-349 | AR | Primary |
Addresses
Primary practice location
2010 Active Way
Benton, AR 72019-7566
Mailing address
PO Box 3250
Benton, AR 72018-3250
Phone (501) 315-0984
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA349 | Other | AR | LICENSE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2010 Active Way
Arkansas Bone and Joint
Benton, AR 72019-7566
Phone 5013150984306
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-349 | AR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saline Orthopedic Group P a | Past | Accepting new patients |
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.
-
dba Arkansas Bone & Joint
- Orthopaedic Surgery Physician
- Benton, AR
- NPI 1093825002
-
dba Arkansas Bone and Joint PT
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Benton, AR
- NPI 1588348783
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Little Rock, AR
- NPI 1942260609
-
dba Saline Memorial Hospital
- General Acute Care Hospital
- Benton, AR
- NPI 1235111071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1376792457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3250",
"city": "BENTON",
"state": "AR",
"postal_code": "720183250",
"telephone_number": "501-315-0984",
"fax_number": "501-847-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 ACTIVE WAY",
"city": "BENTON",
"state": "AR",
"postal_code": "720197566",
"telephone_number": "501-315-0984",
"fax_number": "501-847-1405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEASE",
"first_name": "JASMIN",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AR",
"license": "PA-349",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PA349",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.