Jessica Wainwright, APRN PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

216437 Issued in AR

Practice address

1061 Front St
Conway, AR 72032-4305

Phone

(501) 300-2860

NPI assigned

Jun 24, 2024

Sex

Female

Sole proprietor

Yes

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

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uppal Medical Center LLCGroup PAC ID 4587998547, 129 clinicians

MDB Behavioral Health Services LLCGroup PAC ID 0749572915, 201 clinicians

Arkansas Psychiatric Clinic, Professional AssociationGroup PAC ID 9931180411, 18 clinicians

Practice addresses (Care Compare)

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.

• Arkansas Psychiatric Clinic, Professional Association

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1205804481
  Medicare reassignment Care Compare group NPD
• Wainwright Holistic Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Little Rock, AR
  • NPI 1215765904
  NPD Authorized official
• MDB Behavioral Health Services LLC

  • Rural Health Clinic/Center
  • Vicksburg, MS
  • NPI 1669835310
  Care Compare group
• Uppal Medical Center LLC

  • Rural Health Clinic/Center
  • Greenville, MS
  • NPI 1558927905
  Care Compare group

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1699519769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 BENTLEY CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722105809",
            "telephone_number": "574-344-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 FRONT ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324305",
            "telephone_number": "501-300-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINWRIGHT",
        "first_name": "JESSICA",
        "credential": "APRN PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "216437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sweehoney Vujjini, MD
• Alexandria Wade
• Keanu Wade
• Kelsi Wade, BT
• Lane Gray Wagnon, N.P.
• Wal-Mart Stores, Inc.
• Jennifer Elizabeth Walden, LCSW
• McKinley Walden, PT
• Walgreen Co
• Walgreen Co

• Psychiatric/Mental Health Nurse Practitioner in Conway, AR
• Providers in Conway, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.