Individual provider Active NPI

Johnna Suzanne Boggs, CNP

  • Acute Care Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1619404993
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
A005130 Issued in AR
Practice address
3410 E Johnson Ave
Jonesboro, AR 72401-1876
Phone
(870) 333-5488
NPI assigned
May 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X A005130 AR Primary

Addresses

Primary practice location

3410 E Johnson Ave
Jonesboro, AR 72401-1876

Mailing address

3410 E.Johnson St.
Jonesboro, AR 72401
Phone (870) 333-5488

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
I20171227000214 AR Practitioner - Nurse Practitioner 6002174927 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Arkansas Emergency Physicians PLLC 27 clinicians

Practice addresses (Care Compare)

900 W Kings Hwy
Ar Methodist Medical Center
Paragould, AR 72450-5942
Phone (870) 239-7000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Arkansas Emergency Physicians, PLLC CurrentSince Oct 22, 2021 Accepting new patients
East Arkansas Emergency Physicians, PLLC Current Accepting new patients
St Bernards Hospital Inc. CurrentSince Apr 5, 2018 Accepting new patients
Southeast Arkansas Hospitalists, LLP CurrentSince Jun 3, 2023 Accepting new patients
Doctors Health Group, Inc CurrentSince Mar 20, 2020 Accepting new patients
East Arkansas Emergency Physicians, PLLC CurrentSince Oct 22, 2021 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Jul 15, 2022 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Jul 15, 2022 Accepting new patients

Locations

1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300

1001 W Parker Rd
Jonesboro, AR 72404
Phone (870) 336-1700

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

333 Red Wolf Blvd
Jonesboro, AR 72405
Phone (870) 933-1823

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

900 W Kingshighway
Paragould, AR 72450
Phone (870) 239-7000

4000 Linwood Dr
Ste A
Paragould, AR 72450
Phone (870) 239-8503

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

2801 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-6000

Interoperability endpoints

  • Direct secure messaging: johnna_boggs@yourcarecommunity.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1619404993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 E.JOHNSON ST.",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-333-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 E JOHNSON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724011876",
            "telephone_number": "870-333-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "JOHNNA",
        "middle_name": "SUZANNE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A005130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.