NPIMap

Individual provider Active NPI

Jessica Upchurch, NP

  • Family Nurse Practitioner
  • Maumelle, AR
National Provider Identifier
1649720095
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004924 Issued in AR
Practice address
8060 Counts Massie Rd
Maumelle, AR 72113-6657
Phone
(501) 791-0198
Fax
(501) 315-1720
NPI assigned
Oct 10, 2016
Last updated
Oct 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004924 AR Primary
Family Nurse Practitioner 363LF0000X AP131729 TX

Addresses

Primary practice location

8060 Counts Massie Rd
Maumelle, AR 72113-6657

Mailing address

PO Box 9178
Russellville, AR 72811-9178
Phone (855) 498-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161021001412 AR Practitioner - Nurse Practitioner 8729366919 Reassigns benefits to 6 organizations
I20180110000868 TX Practitioner - Nurse Practitioner 8729366919 Reassigns benefits to 8 organizations
Practice locations: Jefferson, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pallicare, IncGroup PAC ID 8123429925, 85 clinicians
Icare Pro of Texas Aco Billing Professional AssociationGroup PAC ID 0143681940, 13 clinicians
Icarepro of Texas, PAGroup PAC ID 2365811767, 12 clinicians

Practice addresses (Care Compare)

Camden, AR 71701
Phone (972) 833-4573

4114 McKnight Rd
Suite C
Texarkana, TX 75503-1086
Phone (855) 498-6767

4140 McKnight Rd
Suite D
Texarkana, TX 75503-0921
Phone (855) 498-6767

5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (903) 278-5747

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services TX PLLC Family CurrentSince Jul 23, 2018 Accepting new patients
Pallicare, Inc CurrentSince Nov 12, 2024 Accepting new patients
Ferguson Health Care Inc CurrentSince Oct 8, 2024 Accepting new patients
Icarepro of Texas, PA CurrentSince Aug 19, 2022 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jul 26, 2025 Accepting new patients
Icare Pro of Texas Aco Billing Professional Association CurrentSince Jun 1, 2023 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jul 26, 2025 Accepting new patients
Icp Arkansas Aco Billing LLC CurrentSince Aug 1, 2021 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jul 26, 2025 Accepting new patients
SHC Medical Partners of Arkansas, LLC CurrentSince Jul 15, 2024 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jul 26, 2025 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jul 26, 2025 Accepting new patients

Locations

200 River Market Ave
Ste 100
Little Rock, AR 72201
Phone (501) 267-9870

200 River Market Ave
Ste 500
Little Rock, AR 72201
Phone (501) 492-0099

8060 Counts Massie Rd
Maumelle, AR 72113
Phone (501) 791-0198

114 S Main St
Nashville, AR 71852
Phone (870) 845-0033

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

2802 Flintrock Trce
Ste 201
Austin, TX 78738
Phone (512) 407-2606

4114 McKnight Rd
Ste C
Texarkana, TX 75503
Phone (501) 492-0099

4140 McKnight Rd
Ste D
Texarkana, TX 75503

5520 Plaza Dr
Texarkana, TX 75503
Phone (870) 451-1495

Interoperability endpoints

  • Direct secure messaging: jessica.upchurch.1@26850.direct.athenahealth.com

Organizations & group practices 14

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 14

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1649720095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9178",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119178",
            "telephone_number": "855-498-6767",
            "fax_number": "479-968-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 COUNTS MASSIE RD",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136657",
            "telephone_number": "501-791-0198",
            "fax_number": "501-315-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPCHURCH",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004924",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumelle, AR

Sources for this page

Verify at the official NPI Registry.