NPIMap

Individual provider Active NPI

Jessica Louise McNeese, APN

  • Family Nurse Practitioner
  • Russellville, AR
National Provider Identifier
1770927121
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A003848 Issued in AR
Practice address
3812 West Main
Russellville, AR 72801
Phone
(479) 968-1245
Fax
(479) 968-4137
NPI assigned
Apr 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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 A003848 AR Primary

Addresses

Primary practice location

3812 West Main
Russellville, AR 72801

Mailing address

3812 W Main
Russellville, AR 72801
Phone (479) 968-1245

Other names 1

  • Jessica Louise Carr Professional name

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
I20140407000557 AR Practitioner - Nurse Practitioner 7315179348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conway Regional Medical Center IncGroup PAC ID 3173428414, 129 clinicians

Practice addresses (Care Compare)

437 Denison St
Suite 2
Conway, AR 72034-6127
Phone (501) 504-2330

Hospital & facility affiliations

  • Trinity River Valley Home Health Home health agency, Russellville, AR, CCN 047032
  • Elite Home Health Home health agency, Fort Smith, AR, CCN 047339
  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029
  • St Marys Regional Medical Center Hospital, Russellville, AR, CCN 040041
  • Johnson Regional Medical Center Hospital, Clarksville, AR, CCN 040002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Regional Medical Center Inc CurrentSince Sep 9, 2018 Accepting new patients
Conway Regional Medical Center, Inc CurrentSince Sep 9, 2018 Accepting new patients
Conway Regional Medical Center Inc Current Accepting new patients
Conway Regional Medical Center Inc Past Accepting new patients
Monfee Medical Clinic PastSince Apr 30, 2018 Accepting new patients
Westside Family Clinic LLC Family PastSince May 21, 2023 Accepting new patients

Locations

437 Denison St
Ste 2
Conway, AR 72034
Phone (501) 504-2330

108 Skyline Dr
Russellville, AR 72801
Phone (479) 968-7170

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDAJAD

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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": "1367107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1770927121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 W MAIN",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72801",
            "telephone_number": "479-968-1245",
            "fax_number": "479-968-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 WEST MAIN",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72801",
            "telephone_number": "479-968-1245",
            "fax_number": "479-968-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEESE",
        "first_name": "JESSICA",
        "middle_name": "LOUISE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-28",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CARR",
            "middle_name": "LOUISE",
            "credential": "APN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.