Individual provider Active NPI

Amy Madden, APN

  • Family Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1710110051
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A03295 Issued in AR
Practice address
1001 W Parker Rd
Jonesboro, AR 72404-9582
Phone
(870) 973-8181
NPI assigned
Sep 3, 2009
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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 A03295 AR Primary

Addresses

Primary practice location

1001 W Parker Rd
Jonesboro, AR 72404-9582

Mailing address

1001 W Parker Rd
Jonesboro, AR 72404-9582
Phone (870) 931-2417

Other identifiers 1

IdentifierTypeStateIssuer
179595758MedicaidAR

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091002000591 AR Practitioner - Nurse Practitioner 6305982414 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

333 Red Wolf Blvd
Jonesboro, AR 72405-9739
Phone (870) 972-8181

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A03295ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
JT Dewitt, D.O., P.a. Current Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
St Bernards Physician Clinics, Inc. CurrentSince May 1, 2023 Accepting new patients
Nea Reliant Health Care Professionals Inc Family CurrentSince Aug 29, 2016 Accepting new patients
Doctors Health Group, Inc CurrentSince Dec 2, 2019 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince May 1, 2023 Accepting new patients
East Arkansas Family Health Center Inc PastSince Mar 1, 2015 Accepting new patients
Southeastern Emergency Services P C Past Accepting new patients

Locations

9146 Highway 63 N
Bono, AR 72416
Phone (870) 930-9990

1001 W Parker Rd
Jonesboro, AR 72404
Phone (870) 336-1700

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

333 Red Wolf Blvd
Jonesboro, AR 72405
Phone (870) 933-1823

4000 Linwood Dr
Ste A
Paragould, AR 72450
Phone (870) 239-8503

1045 W Main St
#C
Walnut Ridge, AR 72476
Phone (870) 886-8300

Interoperability endpoints

  • Direct secure messaging: akjohnson@sbpc.medalliesdirect.net
  • FHIR API: https://api.platform.athenahealth.com/12230/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1710110051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W PARKER RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049582",
            "telephone_number": "870-931-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W PARKER RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049582",
            "telephone_number": "870-973-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "AMY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2023-02-08",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179595758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.