NPIMap

Individual provider Active NPI

Jessica Ann Dwyer, NP-C

  • Family Nurse Practitioner
  • Mountain Home, AR
National Provider Identifier
1700409182
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
124236 Issued in AR
Practice address
250 Bucher Dr
Mountain Home, AR 72653-3400
Phone
(479) 323-0557
Fax
(870) 706-2428
NPI assigned
May 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 124236 AR Primary

Addresses

Primary practice location

250 Bucher Dr
Mountain Home, AR 72653-3400

Mailing address

250 Bucher Dr
Mountain Home, AR 72653-3400
Phone (479) 323-0557

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201020001837 AR Practitioner - Nurse Practitioner 3678993227 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Treatment Centers of America PLLC 73 clinicians
Interventional Pain Management Associates PLLC 8 clinicians

Practice addresses (Care Compare)

108 N Shackeford Rd
Little Rock, AR 72211-2840
Phone (501) 712-2571

17 Medical PLZ
Mountain Home, AR 72653-2918
Phone (870) 508-5900

Hospital & facility affiliations

  • Baxter Health Hospital, Mountain Home, AR, CCN 040027
  • Ozarks Healthcare Hospital, West Plains, MO, CCN 260078

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter County Regional Hospital, Inc CurrentSince Nov 1, 2022 Accepting new patients
Interventional Pain Management Associates PLLC CurrentSince Jun 27, 2022 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Nov 1, 2022 Accepting new patients
Baxter County Regional Hospital Inc Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

6152 Highway 202 E
Flippin, AR 72634
Phone (870) 453-4603

114 E Crandall Ave
#A
Harrison, AR 72601
Phone (870) 365-0003

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

250 Bucher Dr
Mountain Home, AR 72653
Phone (479) 323-0557

17 Medical Plz
Mountain Home, AR 72653
Phone (870) 425-6212

1402 N Kentucky Ave
West Plains, MO 65775
Phone (417) 256-3717

Interoperability endpoints

  • Direct secure messaging: jessica.dwyer@bhcawp.eclinicaldirectplus.com

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 3

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": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1700409182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BUCHER DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533400",
            "telephone_number": "479-323-0557",
            "fax_number": "870-706-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BUCHER DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533400",
            "telephone_number": "479-323-0557",
            "fax_number": "870-706-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "124236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.