Individual provider Active NPI

Jessica Lee Vognet

  • Nurse Practitioner
  • Beebe, AR
National Provider Identifier
1639799240
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A005981 Issued in AR
Practice address
1996 Highway 31 N
Beebe, AR 72012-9784
Phone
(501) 605-7737
NPI assigned
Apr 23, 2020
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X A005981 AR Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200507002451 AR Practitioner - Nurse Practitioner 8820429871 Reassigns benefits to 3 organizations
I20220504000029 GA Practitioner - Nurse Practitioner 8820429871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005981ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Bibb MD PLLC CurrentSince Jan 2, 2021 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Nov 26, 2023 Accepting new patients
Bradley Bibb MD PLLC CurrentSince Jan 2, 2021 Accepting new patients
Access Medical Clinic Arkansas LLC Single Specialty CurrentSince Nov 23, 2020 Accepting new patients
Access Medical Clinic Georgia LLC CurrentSince Feb 1, 2022 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Nov 23, 2020 Accepting new patients
Access Medical Clinic Georgia LLC CurrentSince Feb 1, 2022 Accepting new patients
Bradley Bibb MD PLLC Single Specialty Current Accepting new patients
Access Medical Clinic Georgia LLC Single Specialty Current Accepting new patients
Access Medical Clinic Arkansas LTC LLC Single Specialty CurrentSince Nov 26, 2023 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 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
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
Bradley Bibb MD PLLC Past Accepting new patients
Access Medical Clinic Arkansas, LLC 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) 219-7706

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

  • Direct secure messaging: jessica.crump.1@22235.direct.athenahealth.com
  • Direct secure messaging: jessica.crump.1@2424.direct.athenahealth.com

Organizations & group practices 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1639799240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NW SOUTH OUTER RD",
            "address_2": "STE 200",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153069",
            "telephone_number": "888-256-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1996 HIGHWAY 31 N",
            "city": "BEEBE",
            "state": "AR",
            "postal_code": "720129784",
            "telephone_number": "501-605-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGNET",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A005981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beebe, AR

Sources for this page

Verify at the official NPI Registry.