Individual provider Active NPI

Sara Jane Johnson, APRN

  • Family Nurse Practitioner
  • Siloam Springs, AR
National Provider Identifier
1629945886
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
235105 Issued in AR
Practice address
1500 N Mount Olive St # 1
Siloam Springs, AR 72761-9509
Phone
(855) 438-2280
NPI assigned
Oct 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 235105 AR Primary

Addresses

Primary practice location

1500 N Mount Olive St # 1
Siloam Springs, AR 72761-9509

Mailing address

1500 N Mount Olive St # 1
Siloam Springs, AR 72761-9509
Phone (855) 438-2280

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
I20260203000281 AR Practitioner - Nurse Practitioner 9638657414 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Francis House Nwa, Inc.Group PAC ID 0042262495, shared by 27 NPIs, 67 clinicians
Appello Health and Wellness Clinic LLCGroup PAC ID 3971043290, 76 clinicians

Practice addresses (Care Compare)

1500 N Mount Olive St
Siloam Springs School Based Health Center
Siloam Springs, AR 72761-9509
Phone (479) 524-8175

2223 Grant St
Malvern, AR 72104-4700
Phone (501) 337-9031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235105ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Appello Health and Wellness Clinic, LLC CurrentSince Dec 23, 2025 Accepting new patients
St Francis House Nwa, Inc CurrentSince Apr 13, 2026 Accepting new patients
St Francis House Nwa, Inc CurrentSince Apr 13, 2026 Accepting new patients

Locations

643 E 3rd St
Gentry, AR 72734
Phone (479) 736-2213

2223 Grant St
Malvern, AR 72104
Phone (501) 337-9031

1500 N Mount Olive St
#1
Siloam Springs, AR 72761
Phone (479) 524-8175

1500 N Mount Olive St
Siloam Springs, AR 72761
Phone (479) 524-6184

451 S Holly St
Siloam Springs, AR 72761
Phone (479) 524-3141

614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1629945886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N MOUNT OLIVE ST # 1",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727619509",
            "telephone_number": "855-438-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N MOUNT OLIVE ST # 1",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727619509",
            "telephone_number": "855-438-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SARA",
        "middle_name": "JANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-22",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "235105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siloam Springs, AR

Sources for this page

Verify at the official NPI Registry.