Jessica Lynn Harper
Individual provider Active NPI Family Nurse Practitioner · Centerton, AR
NPI 1558094631 · NPPES record last updated Jul 6, 2022
Key facts
- NPI
- 1558094631
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 221080 (AR)
- Practice address
- 1225 E Centerton Blvd
Centerton, AR 72719-1225 - Phone
- (479) 795-1301
- Fax
- (479) 795-1304
- NPI assigned
- Jul 6, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Health Northwest Arkansas Communities
Practice addresses (Care Compare)
1225 E Centerton Blvd
Centerton, AR 72719-1225
Phone (479) 795-1301
Hospital & facility affiliations
- Mercy Hospital Northwest Arkansas
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220719001802 | AR | Practitioner - Nurse Practitioner | 1557742715 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Northwest Arkansas Communities | Current |
Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current |
Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients |
Locations
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
1225 E Centerton Blvd
Centerton, AR 72719
Phone (479) 795-1301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 221080 | AR | Yes |
Addresses
Primary practice location
1225 E Centerton Blvd
Centerton, AR 72719-1225
Mailing address
1225 E Centerton Blvd
Centerton, AR 72719-1225
Phone (479) 795-1301
Other providers in Centerton, AR
- Stefanie Martin Farinholt
- Nicole Fortin
- Forward Momentum LLC
- Erbey S Gomez
- Joshua Aaron Hall
- Callie Avery Hendricks
- Erica Hendricks
- Wendy Henson
- Ashley Hines
- Cody Stonewall Hollist
All providers in Centerton, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.