Individual provider Active NPI

James Acup, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Mountain Home, AR
National Provider Identifier
1437625274
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
A005956 Issued in AR
Practice address
40 Plaza Way Ste 8
Mountain Home, AR 72653-9083
Phone
(870) 373-1514
NPI assigned
Oct 19, 2018
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X A005956 AR Primary

Addresses

Primary practice location

40 Plaza Way Ste 8
Mountain Home, AR 72653-9083

Mailing address

40 Plaza Way Ste 8
Mountain Home, AR 72653-9083
Phone (501) 344-6154

Other identifiers 1

IdentifierTypeStateIssuer
230427758MedicaidAR

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
I20181121001384 AR Practitioner - Nurse Practitioner 0042564494 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Bokker Enterprises Inc.Group PAC ID 8628153194, 5 clinicians

Practice addresses (Care Compare)

2012 Hwy 62 412
Highland, AR 72542-9477
Phone (870) 856-3337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005956ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Hospital Inc. CurrentSince Oct 1, 2022 Accepting new patients
Bokker Enterprises, Inc. CurrentSince Aug 10, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 1, 2021 Accepting new patients
Bokker Enterprises, Inc. CurrentSince Aug 10, 2022 Accepting new patients
Mental Health Diagnostics and Teleprescribing Psychiatric/Mental Health CurrentSince May 1, 2024 Accepting new patients

Locations

2012 Highway 62 412
Highland, AR 72542
Phone (866) 533-1761

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

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

40 Plaza Way
Ste 8
Mountain Home, AR 72653
Phone (501) 344-6154

115 Turner Ln
Ste 2
Salem, AR 72576
Phone (870) 384-1744

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1437625274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PLAZA WAY STE 8",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726539083",
            "telephone_number": "501-344-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PLAZA WAY STE 8",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726539083",
            "telephone_number": "870-373-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACUP",
        "first_name": "JAMES",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-19",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A005956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230427758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.