James Dustin Bailey
Individual provider Active NPI Nurse Practitioner · Ashdown, AR
NPI 1750153094 · NPPES record last updated Jul 17, 2025
Key facts
- NPI
- 1750153094
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 1196421 (TX)
- Practice address
- 171 S Monroe St
Ashdown, AR 71822-3729 - Phone
- (903) 824-6189
- NPI assigned
- Oct 30, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Texas Physician Services, PLLC
Practice addresses (Care Compare)
2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-1000
Hospital & facility affiliations
- Christus St Michael Health System
- Christus Mother Frances Hospital
- Little River Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250609000226 | TX | Practitioner - Nurse Practitioner | 7315457488 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R101366 | AR | MD | Emergency Registered Nurse |
| 1196421 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Texas Physician Services, PLLC | Nurse Practitioner | Current |
Accepting new patients |
Locations
200 Corporate Blvd
Lafayette, LA 70508
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Interoperability endpoints
- jbailey430227@christushealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | R101366 | AR | |
| Nurse Practitioner | 363L00000X | 1196421 | TX | Yes |
Addresses
Primary practice location
171 S Monroe St
Ashdown, AR 71822-3729
Mailing address
171 S Monroe St
Ashdown, AR 71822-3729
Phone (903) 824-6189
Other providers in Ashdown, AR
- Ashdown Pharmacy
- Ashdown School District
- Kortney Beth Ashley
- Domingo Atienza
- Wesley Alan Aylett
- Jennifer Beck
- Block to Block Homecare LLC
- Jana Boquin
- Vernon Dean Bowman Jr.
- Joseph A Braden
All providers in Ashdown, AR · Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.