Individual provider Active NPI

Brenda Joyce Jacobs, APN

  • Family Nurse Practitioner
  • Rison, AR
National Provider Identifier
1720111990
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A03186 Issued in AR
Practice address
217 N Main St
Rison, AR 71665-8856
Phone
(888) 264-5034
NPI assigned
Mar 14, 2007
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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 A03186 AR Primary

Addresses

Primary practice location

217 N Main St
Rison, AR 71665-8856

Mailing address

4196 Highway 62 412 Ste a
Hardy, AR 72542-8002

Other practice location 1

407 S Gould Ave
Gould, AR 71643
Phone (870) 263-4317

Other practice location 2

535 Jordan Dr
Monticello, AR 71655-5714
Phone (870) 367-6246

Other practice location 3

145 W Waterman St
Dumas, AR 71639-2139
Phone (870) 382-4878

Other identifiers 1

IdentifierTypeStateIssuer
182729758MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brenda.jacobs@mhsi.eclinicaldirectplus.com

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
I20090409000664 AR Practitioner - Nurse Practitioner 4486701356 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
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

Practice addresses (Care Compare)

1727 E Union St
Greenville, MS 38703-3253
Phone (662) 537-4830

1911 Mission
66 Suite B
Vicksburg, MS 39180-3762
Phone (601) 456-2598

217 N Main St
Rison, AR 71665-8856
Phone (870) 219-7706

871 W Main St
Booneville, AR 72927-3420
Phone (870) 219-7706

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Bibb MD PLLC CurrentSince Nov 1, 2025 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Nov 1, 2025 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Sep 1, 2025 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Sep 1, 2025 Accepting new patients
Access Medical Clinic Arkansas LLC Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 24, 2024 Accepting new patients
Bradley Bibb MD PLLC CurrentSince Nov 1, 2025 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

49 Highway 62 412
Ash Flat, AR 72513
Phone (573) 718-2570

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080

106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: brenda.jacobs.1@15024.direct.athenahealth.com
  • Direct secure messaging: brenda.jacobs@mhsi.eclinicaldirectplus.com

Organizations & group practices 11

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1720111990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N MAIN ST",
            "city": "RISON",
            "state": "AR",
            "postal_code": "716658856",
            "telephone_number": "888-264-5034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 S Gould Ave",
            "address_purpose": "LOCATION",
            "city": "Gould",
            "state": "AR",
            "postal_code": "71643",
            "country_code": "US",
            "telephone_number": "870-263-4317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Jordan Dr",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "AR",
            "postal_code": "716555714",
            "country_code": "US",
            "telephone_number": "870-367-6246",
            "fax_number": "855-926-7383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 W Waterman St",
            "address_purpose": "LOCATION",
            "city": "Dumas",
            "state": "AR",
            "postal_code": "716392139",
            "country_code": "US",
            "telephone_number": "870-382-4878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "BRENDA",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182729758",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brenda.jacobs@mhsi.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "300 S School St",
            "city": "Dermott",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716382127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rison, AR

Sources for this page

Verify at the official NPI Registry.