Jessica P Mobley, APN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

A001882 Issued in AR

Practice address

708 S Timberlane Dr Ste a
El Dorado, AR 71730-6991

Phone

(870) 639-6465

Fax

(870) 639-6470

NPI assigned

Jul 6, 2006

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

Other identifiers 4

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

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mobley Medical Clinic PLLCGroup PAC ID 8729478193, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Arkansas Regional Hospital LLC Hospital, El Dorado, AR, CCN 040088
• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mobley Medical Clinic PLLC

  • Acute Care Nurse Practitioner
  • El Dorado, AR
  • NPI 1871250555
  Medicare reassignment Care Compare group NPD Authorized official
• Greg Smart, M.D.

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1073506010
  Medicare reassignment
• The Guinn Clinic, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • El Dorado, AR
  • NPI 1073156741

  Family

  NPD
• Greg Smart Family Practice

  • General Practice Physician
  • El Dorado, AR
  • NPI 1255771598
  NPD (past)
• Little Rock Diagnostic Clinic PA

  • Ambulatory Surgical Clinic/Center
  • Little Rock, AR
  • NPI 1760418891
  NPD (past)

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

• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682
  Care Compare affiliation
• South Arkansas Regional Hospital LLC

  • General Acute Care Hospital
  • El Dorado, AR
  • NPI 1780375592
  Care Compare affiliation

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1689606261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S TIMBERLANE DR STE A",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306991",
            "telephone_number": "870-639-6465",
            "fax_number": "870-639-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S TIMBERLANE DR STE A",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306991",
            "telephone_number": "870-639-6465",
            "fax_number": "870-639-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "JESSICA",
        "middle_name": "P",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A001882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5Y467",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1X1863",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281240758",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A001882",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawana Miller
• Donna L Miner
• Misenheimer Medical, LLC
• Fonda Renee Mitchell, PTA
• Mobley Medical Clinic PLLC
• Requebia Monk
• Shakerah Moody
• Andi Moore, DPT
• Darwin Moore
• Michael Riley Moore, BOC P. ABC C.F.O.

• Acute Care Nurse Practitioner in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Acute Care Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.