Individual provider Active NPI

Jesse Newton Roy Root

  • Physician Assistant
  • Harrison, AR
National Provider Identifier
1396609202
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-1473 Issued in AR
Practice address
100 Town Center Dr Ste a
Harrison, AR 72601-3038
Phone
(870) 741-8289
NPI assigned
Dec 15, 2025
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-1473 AR Primary

Addresses

Primary practice location

100 Town Center Dr Ste a
Harrison, AR 72601-3038

Mailing address

PO Box 190
Kingston, AR 72742-0190

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
I20260414002597 AR Practitioner - Physician Assistant 6709352149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Orthopedics and Sports Medicine, P.a.Group PAC ID 0941392211, 7 clinicians

Practice addresses (Care Compare)

100 Town Ctr Dr
Suite a
Harrison, AR 72601-3038
Phone (870) 741-8289

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA-1473ARMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Orthopedics & Sports Medicine, P.a. CurrentSince Mar 2, 2026 Accepting new patients

Locations

100 Town Center Dr
#A
Harrison, AR 72601
Phone (870) 741-8289

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1396609202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "KINGSTON",
            "state": "AR",
            "postal_code": "727420190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TOWN CENTER DR STE A",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013038",
            "telephone_number": "870-741-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOT",
        "first_name": "JESSE",
        "middle_name": "NEWTON ROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-15",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-1473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.