Jessica Lee Vognet
Individual provider Active NPI Nurse Practitioner · Beebe, AR
NPI 1639799240 · NPPES record last updated Oct 13, 2023
Key facts
- NPI
- 1639799240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- A005981 (AR)
- Practice address
- 1996 Highway 31 N
Beebe, AR 72012-9784 - Phone
- (501) 605-7737
- NPI assigned
- Apr 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 37
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Access Medical Clinic Arkansas LTC LLC
Access Medical Clinic Arkansas LLC
Practice addresses (Care Compare)
1010 N Ctr St
Lonoke, AR 72086-2005
Phone (501) 438-8075
104 W State St
Caraway, AR 72419-8553
Phone (870) 895-2015
106 N Van Buren St
Weiner, AR 72479-9289
Phone (870) 605-0014
11005 Heber Springs Rd N
Concord, AR 72523-9561
Phone (844) 291-4901
16723 Hwy 62
Garfield, AR 72732-7007
Phone (870) 219-7706
1713 W Main St
Heber Springs, AR 72543-2835
Phone (870) 219-7706
217 N Main St
Rison, AR 71665-8856
Phone (870) 219-7706
405 W 16TH St
Hope, AR 71801-7104
Phone (870) 994-7301
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR, GA
- 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 |
|---|---|---|---|---|
| I20200507002451 | AR | Practitioner - Nurse Practitioner | 8820429871 | Reassigns benefits to 3 organizations |
| I20220504000029 | GA | Practitioner - Nurse Practitioner | 8820429871 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Medical Clinic Arkansas LTC LLC | Single Specialty | Current |
Accepting new patients |
| Bradley Bibb MD PLLC | Single Specialty | Current | Accepting new patients |
| Access Medical Clinic Arkansas LTC LLC | Current |
Accepting new patients | |
| Access Medical Clinic Georgia LLC | Current |
Accepting new patients | |
| Access Medical Clinic Georgia LLC | Current |
Accepting new patients | |
| Access Medical Clinic Arkansas LTC LLC | Current |
Accepting new patients | |
| Access Medical Clinic Georgia LLC | Single Specialty | Current | Accepting new patients |
| Bradley Bibb MD PLLC | Current |
Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Single Specialty | Current |
Accepting new patients |
| Bradley Bibb MD PLLC | Current |
Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Single Specialty | Past | Accepting new patients |
| Access Medical Clinic Arkansas, LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Single Specialty | Past | Accepting new patients |
| Access Medical Clinic Arkansas, LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Single Specialty | Past | Accepting new patients |
| Access Medical Clinic Arkansas LLC | Single Specialty | Past | Accepting new patients |
| Access Medical Clinic Arkansas LLC | Single Specialty | Past | Accepting new patients |
| Access Medical Clinic Arkansas LLC | Single Specialty | Past | Accepting new patients |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients | |
| Bradley Bibb MD PLLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Single Specialty | Past | Accepting new patients |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Single Specialty | Past | Accepting new patients |
| Access Medical Clinic Arkansas LLC | Single Specialty | Past | Accepting new patients |
| Access Medical Clinic Arkansas LLC | Single Specialty | Past | Accepting new patients |
Locations
49 Highway 62 412
Ste 412
Ash Flat, AR 72513
3519 Highway 63
Black Rock, AR 72415
Phone (870) 878-4005
104 W State St
Caraway, AR 72419
Phone (870) 565-9205
444 Taylor Cir
Cave City, AR 72521
Phone (870) 376-2844
11005 Heber Springs Rd N
Concord, AR 72523
Phone (844) 291-4901
1176 State Highway 22 W
Ste B
Dardanelle, AR 72834
Phone (479) 229-3004
704 Main Ave
Dierks, AR 71833
Phone (870) 455-1172
806 E Main St
Flippin, AR 72634
Phone (870) 219-7706
16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706
20 Wilson Farm Rd
Greenbrier, AR 72058
Phone (501) 679-8970
4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100
202 Newsome Dr
Marked Tree, AR 72365
Phone (870) 358-4355
942 Highway 65 N
Marshall, AR 72650
Phone (870) 448-3577
1016 N Fourche Ave
Perryville, AR 72126
Phone (501) 237-1284
106 Highway 62 W
Salem, AR 72576
Phone (870) 895-2762
2804 E Race Ave
Searcy, AR 72143
Phone (501) 254-0911
3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080
106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014
37 341 Byp
Hawkinsville, GA 31036
Phone (478) 845-4842
500 Stanley St
Perry, GA 31069
Phone (229) 463-7071
304 N Westberry St
Sylvester, GA 31791
Phone (229) 463-7071
Interoperability endpoints
- jessica.crump.1@2424.direct.athenahealth.com
- jessica.crump.1@22235.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | A005981 | AR | Yes |
Addresses
Primary practice location
1996 Highway 31 N
Beebe, AR 72012-9784
Mailing address
1100 NW South Outer Rd
Ste 200
Blue Springs, MO 64015-3069
Phone (888) 256-3814
Other providers in Beebe, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2023. 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.