Mollye Jenay Koonce, APRN, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Sheridan, AR

NPI 1497271456 · NPPES record last updated Mar 27, 2026

Key facts

NPI
1497271456
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
A005265 (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
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainline Health Systems Inc (55 clinicians)

Practice addresses (Care Compare)

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170928000660 AR Practitioner - Nurse Practitioner 2567736622 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainline Health Systems, Inc Current
since Aug 1, 2022
Accepting new patients
Mainline Health Systems, Inc Current Accepting new patients
Southeast Arkansas Emergency Physicians LLP Current
since Aug 7, 2017
Accepting new patients
Southeast Arkansas Emergency Physicians LLP Current
since Aug 7, 2017
Accepting new patients
Mainline Health Systems Inc Current
since 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 (870) 942-7927

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

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

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

Interoperability endpoints

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

Specialties & licenses

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

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

Other identifiers

IdentifierTypeStateIssuer
222825758MedicaidAR

Electronic endpoints

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

Other providers in Sheridan, AR

All providers in Sheridan, AR · Family Nurse Practitioner in Arkansas

Sources for this page

Verify at the official NPI Registry.