Jessica Reagan, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A004551 Issued in AR

Practice address

1016 McQuay Ave
Pocahontas, AR 72455

Phone

(870) 892-9949

Fax

(870) 892-0208

NPI assigned

Dec 30, 2015

Last updated

Dec 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

1St Choice Healthcare IncGroup PAC ID 0648184218, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.reagan@1st.eclinicaldirectplus.com

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.

• 1St Choice Healthcare Inc

  dba 1st Choice Healthcare

  • Federally Qualified Health Center (FQHC)
  • Corning, AR
  • NPI 1942256508
  Medicare reassignment Care Compare group NPD
• 1St Choice Healthcare Inc

  dba 1st Choice Healthcare Salem

  • Federally Qualified Health Center (FQHC)
  • Salem, AR
  • NPI 1912431818
  NPD
• 1St Choice Healthcare Inc

  dba 1st Choice Healthcare

  • Federally Qualified Health Center (FQHC)
  • Highland, AR
  • NPI 1962824672
  NPD
• 1St Choice Healthcare Inc

  dba 1st Choice Healthcare

  • Federally Qualified Health Center (FQHC)
  • Walnut Ridge, AR
  • NPI 1598711152
  NPD (past)

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1477918738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "CORNING",
            "state": "AR",
            "postal_code": "724220083",
            "telephone_number": "870-857-3334",
            "fax_number": "870-857-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 MCQUAY AVE",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "72455",
            "telephone_number": "870-892-9949",
            "fax_number": "870-892-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAGAN",
        "first_name": "JESSICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212613758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randolph SNF Operations LLC
• Jacob Adam Rapert
• Jennifer Rawls, LCSW
• Ashley N Ray, LPC
• Donna Maria Reagan
• Tammy Reed
• Patricia Ann Reynolds, MHPP
• Adam D Robb
• Joey Michael Robbins, PD
• Robert Glen Enterprises Inc (TLC Health Care)

• Family Nurse Practitioner in Pocahontas, AR
• Providers in Pocahontas, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.

Verify at the official NPI Registry.