Active NPI
Johnna Suzanne Boggs, CNP
- Acute Care Nurse Practitioner
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- A005130
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Arkansas Emergency Physicians, PLLC | Current | Accepting new patients | |
| East Arkansas Emergency Physicians, PLLC | Current | Accepting new patients | |
| St Bernards Hospital Inc. | Current | Accepting new patients | |
| Southeast Arkansas Hospitalists, LLP | Current | Accepting new patients | |
| Doctors Health Group, Inc | Current | Accepting new patients | |
| East Arkansas Emergency Physicians, PLLC | Current | Accepting new patients | |
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| St Bernards Physician Clinics Inc | Current | 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
- 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.
-
- Emergency Medicine Physician
- Blytheville, AR
- NPI 1932442985
AR
-
- Emergency Medicine Physician
- Clarksville, AR
- NPI 1609259753
-
- Emergency Medicine Physician
- Paragould, AR
- NPI 1760864953
-
- Diagnostic Radiology Physician
- Jonesboro, AR
- NPI 1780546051
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.