Shenika Jackson-King, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A004123 Issued in AR

Practice address

300 S School St
Dermott, AR 71638-2127

Phone

(870) 538-5296

Fax

(870) 538-3701

NPI assigned

Jun 18, 2014

Last updated

Mar 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, LA2 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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mainline Health Systems IncGroup PAC ID 5193785590, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chicot Memorial Medical Center Hospital, Lake Village, AR, CCN 041328
• Ashley County Medical Center Hospital, Crossett, AR, CCN 041323

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shenika.jacksonking@mhsi.eclinicaldirectplus.com

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.

• Mainline Health Systems, Inc

  dba Mills Middle School

  • Federally Qualified Health Center (FQHC)
  • Little Rock, AR
  • NPI 1164264834
  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  AR, Nurse Practitioner

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  LA, Nurse Practitioner

  Medicare reassignment NPD
• Mainline Health Systems, Inc

  dba Warren High School BH

  • Federally Qualified Health Center (FQHC)
  • Warren, AR
  • NPI 1942929732
  NPD
• Mainline Health Systems, Inc

  dba Mainline Health Magnolia Clinic

  • Federally Qualified Health Center (FQHC)
  • Magnolia, AR
  • NPI 1972464337
  NPD
• Mainline Health Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Monticello, AR
  • NPI 1669401501
  NPD (past)
• Mainline Health Systems, Inc.

  dba Hamburg Elementary Clinic

  • Federally Qualified Health Center (FQHC)
  • Hamburg, AR
  • NPI 1699130468
  NPD (past)

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

• Chicot Memorial Medical Center

  • Rural Health Clinic/Center
  • Lake Village, AR
  • NPI 1003213281

  Hospital

  Care Compare affiliation
• Chicot Memorial Medical Center

  • Clinic/Center
  • Lake Village, AR
  • NPI 1104238179

  Hospital

  Care Compare affiliation
• Chicot Memorial Medical Center

  • Critical Access Hospital
  • Lake Village, AR
  • NPI 1235453192
  Care Compare affiliation
• Chicot Memorial Medical Center

  • Clinic/Center
  • Lake Village, AR
  • NPI 1841602810

  Hospital

  Care Compare affiliation
• Crossett Health Foundation

  dba Ashley County Medical Center

  • Critical Access Hospital
  • Crossett, AR
  • NPI 1952308215
  Care Compare affiliation

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1669886552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HIGHWAY 425 S",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554612",
            "telephone_number": "870-942-3000",
            "fax_number": "870-942-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S SCHOOL ST",
            "city": "DERMOTT",
            "state": "AR",
            "postal_code": "716382127",
            "telephone_number": "870-538-5296",
            "fax_number": "870-538-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-KING",
        "first_name": "SHENIKA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermott Family Practice, Inc.
• Dermott High School (Dermott School District)
• Terri Ann Eubanks, DDS
• Brenda Fowler, ANP
• Case Henderson, PHARMD
• Courtney Shay Johnson, CNP
• Elmer Ann Johnson
• Courtney Keller, PHARMD
• Mainline Health Systems Inc (Mainline Dermott Medical Clinic)
• Mainline Health Systems, Inc (Mainline Dermott Dental Clinic)

• Family Nurse Practitioner in Dermott, AR
• Providers in Dermott, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.

Verify at the official NPI Registry.