Individual provider Active NPI

Mollye Jenay Koonce, APRN, FNP-C

  • Family Nurse Practitioner
  • Sheridan, AR
National Provider Identifier
1497271456
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005265 Issued in AR
Practice address
506 Little Creek Cut Off Rd
Sheridan, AR 72150-7798
Phone
(870) 942-3000
Fax
(870) 942-3005
NPI assigned
Aug 21, 2017
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A005265 AR Primary

Addresses

Primary practice location

506 Little Creek Cut Off Rd
Sheridan, AR 72150-7798

Mailing address

342 Highway 425 S
Monticello, AR 71655-4612
Phone (870) 942-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mollye.koone@mhsi.eclinicaldirectplus.com

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
I20170928000660 AR Practitioner - Nurse Practitioner 2567736622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainline Health Systems IncGroup PAC ID 5193785590, 55 clinicians

Practice addresses (Care Compare)

506 Little Creek Cut Off Rd
Sheridan, AR 72150-7798
Phone (870) 942-3000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainline Health Systems, Inc Current Accepting new patients
Mainline Health Systems Inc CurrentSince Aug 1, 2022 Accepting new patients
Southeast Arkansas Emergency Physicians LLP CurrentSince Aug 7, 2017 Accepting new patients
Southeast Arkansas Emergency Physicians LLP CurrentSince Aug 7, 2017 Accepting new patients
Mainline Health Systems, Inc CurrentSince Aug 1, 2022 Accepting new patients
Mainline Health Systems Inc Past Accepting new patients

Locations

300 S School St
Dermott, AR 71638
Phone (870) 538-3355

579 E Beouff St
Eudora, AR 71640
Phone (870) 355-2512

5205 W Sawmill Rd
Little Rock, AR 72206
Phone (501) 650-2396

342 Highway 425 S
Monticello, AR 71655
Phone (870) 723-4145

535 Jordan Dr
Monticello, AR 71655
Phone (870) 367-6246

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

506 Little Creek Cut Off Rd
Sheridan, AR 72150
Phone (800) 204-1227

512 W Church St
#A
Sheridan, AR 72150
Phone (870) 484-4411

Interoperability endpoints

  • Direct secure messaging: mollye.koonce@mhsi.eclinicaldirectplus.com
  • Direct secure messaging: mollye.koone@mhsi.eclinicaldirectplus.com

Organizations & group practices 6

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": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1497271456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HIGHWAY 425 S",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554612",
            "telephone_number": "870-942-3000",
            "fax_number": "870-942-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 LITTLE CREEK CUT OFF RD",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721507798",
            "telephone_number": "870-942-3000",
            "fax_number": "870-942-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONCE",
        "first_name": "MOLLYE",
        "middle_name": "JENAY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mollye.koone@mhsi.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "506 Little Creek Cut Off Rd",
            "city": "Sheridan",
            "state": "AR",
            "country_code": "US",
            "postal_code": "721507798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheridan, AR

Sources for this page

Verify at the official NPI Registry.