Individual provider Active NPI

Jennifer Ann Boggs, WHNP

  • Women's Health Nurse Practitioner
  • Rogers, AR
National Provider Identifier
1609534247
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
223521 Issued in AR
Practice address
3333 S Pinnacle Hills Pkwy Ste 600
Rogers, AR 72758-9016
Phone
(479) 338-4000
Fax
(479) 338-4050
NPI assigned
Dec 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 53-80006 KS
Women's Health Nurse Practitioner 363LW0102X 223521 AR Primary

Addresses

Primary practice location

3333 S Pinnacle Hills Pkwy Ste 600
Rogers, AR 72758-9016

Mailing address

3333 S Pinnacle Hills Pkwy Ste 600
Rogers, AR 72758-9016
Phone (479) 338-4000

Other practice location 1

2237 Keystone Cir Ste C
Andover, KS 67002-8742
Phone (316) 201-6983

Other practice location 2

1101 N Rock Rd
Derby, KS 67037-3705
Phone (316) 788-6963

Other practice location 3

307 W Hwy 54 Ste 300
Andover, KS 67002-7849
Phone (316) 218-0008

Other practice location 4

2131 N Ridge Rd
Wichita, KS 67212-1570
Phone (316) 721-3122

Other practice location 5

902 N Hillside St
Wichita, KS 67214-3220
Phone (316) 685-1277

Other names 1

  • Jennife Ann James Former name

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address info@mkwc.net
Direct Messaging Address info@mkwc.net
Direct Messaging Address info@mkwc.net
Direct Messaging Address info@mkwc.net
Direct Messaging Address info@mkwc.net

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
I20230523001861 AR Practitioner - Nurse Practitioner 2163812736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3333 S Pinnacle Hills Pkwy
Suite 600
Rogers, AR 72758-9016
Phone (479) 338-4400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223521ARMDWomen's Health Nurse Practitioner
53-80006KSMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Apr 3, 2023 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Apr 3, 2023 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

3333 S Pinnacle Hills Pkwy
Ste 600
Rogers, AR 72758
Phone (479) 338-4000

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1609534247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S PINNACLE HILLS PKWY STE 600",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727589016",
            "telephone_number": "479-338-4000",
            "fax_number": "479-338-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S PINNACLE HILLS PKWY STE 600",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727589016",
            "telephone_number": "479-338-4000",
            "fax_number": "479-338-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2237 Keystone Cir Ste C",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "KS",
            "postal_code": "670028742",
            "country_code": "US",
            "telephone_number": "316-201-6983",
            "fax_number": "316-295-4116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 N Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "KS",
            "postal_code": "670373705",
            "country_code": "US",
            "telephone_number": "316-788-6963",
            "fax_number": "316-788-5373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 W Hwy 54 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "KS",
            "postal_code": "670027849",
            "country_code": "US",
            "telephone_number": "316-218-0008",
            "fax_number": "316-733-1280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2131 N Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672121570",
            "country_code": "US",
            "telephone_number": "316-721-3122",
            "fax_number": "316-721-3124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "902 N Hillside St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143220",
            "country_code": "US",
            "telephone_number": "316-685-1277",
            "fax_number": "316-688-5208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KS",
            "license": "53-80006",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AR",
            "license": "223521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mkwc.net",
            "affiliation": "N",
            "address_1": "1101 N Rock Rd",
            "city": "Derby",
            "state": "KS",
            "country_code": "US",
            "postal_code": "670373705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mkwc.net",
            "affiliation": "N",
            "address_1": "2237 Keystone Cir Ste C",
            "city": "Andover",
            "state": "KS",
            "country_code": "US",
            "postal_code": "670028742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mkwc.net",
            "affiliation": "N",
            "address_1": "307 W Hwy 54 Ste 300",
            "city": "Andover",
            "state": "KS",
            "country_code": "US",
            "postal_code": "670027849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mkwc.net",
            "affiliation": "N",
            "address_1": "2131 N Ridge Rd",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672121570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mkwc.net",
            "affiliation": "N",
            "address_1": "902 N Hillside St",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672143220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFE",
            "last_name": "JAMES",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.