Yolanda Jeffery, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A004892 Issued in AR

Practice address

1101 S Tennessee St
Pine Bluff, AR 71601-5801

Phone

(870) 543-2380

Fax

(870) 543-2368

NPI assigned

Mar 20, 2014

Last updated

Nov 28, 2016By 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 2

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jefferson Comprehensive Care System, IncGroup PAC ID 5193634509, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Regional Medical Center Hospital, Pine Bluff, AR, CCN 040071

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Jefferson Comprehensive Care System, Inc

  • Federally Qualified Health Center (FQHC)
  • Pine Bluff, AR
  • NPI 1154386597
  Medicare reassignment Care Compare group
• Jefferson Comprehensive Care System, Inc

  dba Opeh Hands Center

  • Federally Qualified Health Center (FQHC)
  • Little Rock, AR
  • NPI 1689870065
  NPD

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

• Jefferson Hospital Association Inc

  dba Jefferson Regional Medical Center

  • General Acute Care Hospital
  • Pine Bluff, AR
  • NPI 1710931985
  Care Compare affiliation

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1487071031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S TENNESSEE ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716015801",
            "telephone_number": "870-543-2380",
            "fax_number": "870-543-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S TENNESSEE ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716015801",
            "telephone_number": "870-543-2380",
            "fax_number": "870-543-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERY",
        "first_name": "YOLANDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-20",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004892",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R084570",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180635526",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jefferson Hospital Association, Inc. (Family Health Assoc of Southeast AR)
• Jefferson Regional Anesthesia LLC
• Jefferson Regional Cancer Center
• Jefferson Regional Medical Center
• Jefferson Surgery Center PLLC
• Jenkins Housing Inc (Chapel Pines North Or South)
• Jenkins Memorial Center & Jenkins Industries, Inc.
• Alice Dianne Jenkins, RD, LD
• Barbarrette Rowe Jenkins
• Parker Jenkins, M.D.

• Family Nurse Practitioner in Pine Bluff, AR
• Providers in Pine Bluff, 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 Nov 28, 2016; 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.