Active NPI
Connie Marie Thomas, DNP, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Rogers, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 218965
- Practice address
- 5309 W Village Pkwy Ste 3
Rogers, AR 72758-8102 - Phone
- (479) 275-4152
- Fax
- (479) 227-6811
- NPI assigned
- Sep 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 218965 | AR | |
| Nurse Practitioner | 363L00000X | 218965 | AR | |
| Adult Health Nurse Practitioner | 363LA2200X | 218965 | AR | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 218965 | AR | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2023000802 | MO | |
| Nurse Practitioner | 363L00000X | 2023000802 | MO |
Addresses
Primary practice location
5309 W Village Pkwy Ste 3
Rogers, AR 72758-8102
Mailing address
PO Box 205
Bentonville, AR 72712-0205
Phone (618) 554-8730
Other practice location 1
6815 Isaacs Orchard Rd Ste C
Springdale, AR 72762-6285
Phone (479) 301-5290
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 294786758 | Medicaid | AR | |
| 420119243 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.1 of 100
- Quality
- 82.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218965 | AR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wild Fig, PLLC | Adult Health | Current | Accepting new patients |
| Complexcare Medical Group Midwest H PLLC | Current | Accepting new patients | |
| Wild Fig, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Theoria Medical | Nurse Practitioner | Current | Accepting new patients |
| Theoria Medical | Nurse Practitioner | Past | Accepting new patients |
| Eustasis Foundation, Inc | Past | Accepting new patients | |
| Day by Day: a Center for Health and Healing | Past | Accepting new patients | |
| St. Vincent Medical Group | Nurse Practitioner | Past | Accepting new patients |
Locations
215 N College Ave
Fayetteville, AR 72701
Phone (479) 301-5290
5309 W Village Pkwy
Ste 3
Rogers, AR 72758
Phone (479) 275-4152
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
3002 John Duffy Dr
Joplin, MO 64804
Phone (417) 553-9767
9191 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 491-6190
904 E 68th St
Kansas City, MO 64131
Phone (816) 333-5485
4301 NE Parvin Rd
North Kansas City, MO 64117
Phone (816) 444-0900
2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966
505 W Evergreen St
Strafford, MO 65757
Phone (417) 736-9332
809 W Benton St
Windsor, MO 65360
Phone (660) 467-3102
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JAHJDD/Endpoint/JAHJDD
Organizations & group practices 8
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fayetteville, AR
- NPI 1770399305
-
- Mental Health Counselor
- Springdale, AR
- NPI 1558978858
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1134176480
Nurse Practitioner
-
- Voluntary or Charitable Agency
- Springfield, MO
- NPI 1386257780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1699499384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 205",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727120205",
"telephone_number": "618-554-8730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5309 W VILLAGE PKWY STE 3",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588102",
"telephone_number": "479-275-4152",
"fax_number": "479-227-6811"
}
],
"practiceLocations": [
{
"address_1": "6815 Isaacs Orchard Rd Ste C",
"address_purpose": "LOCATION",
"city": "Springdale",
"state": "AR",
"postal_code": "727626285",
"country_code": "US",
"telephone_number": "479-301-5290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "CONNIE",
"middle_name": "MARIE",
"credential": "DNP, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-27",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AR",
"license": "218965",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "218965",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AR",
"license": "218965",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AR",
"license": "218965",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2023000802",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2023000802",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "294786758",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "420119243",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.