Active NPI
Jeffery F Harris, APRN
- Family Nurse Practitioner
- Osceola, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 120272
- Practice address
- 616 W Keiser Ave
Osceola, AR 72370-3504 - Phone
- (870) 936-8000
- Fax
- (870) 934-3651
- NPI assigned
- Jun 14, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 120272 | AR | Primary |
Addresses
Primary practice location
616 W Keiser Ave
Osceola, AR 72370-3504
Mailing address
PO Box 1960
Jonesboro, AR 72403-1960
Phone (870) 936-8000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190807003572 | AR | Practitioner - Nurse Practitioner | 8022345412 | Reassigns benefits to 1 organization |
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
- Northeast Arkansas Clinic Charitable Foundation, Inc.
Practice addresses (Care Compare)
1111 Windover Rd
Jonesboro, AR 72401-6159
Phone (870) 935-5432
4700 W Kingshighway
Paragould, AR 72450-3465
Phone (870) 240-8402
4901 E Johnson Ave
Jonesboro, AR 72405-8417
Phone (870) 932-8222
616 W Keiser Ave
Osceola, AR 72370-3504
Phone (870) 563-5888
Hospital & facility affiliations
- Baptist Memorial Hospital Jonesboro, Inc.
- St Bernards Medical Center
- Great River Medical Center
- South Mississippi County Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.65 of 100
- Quality
- 44.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120272 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Past | Accepting new patients |
Locations
909 Enterprise Dr
Jonesboro, AR 72401
Phone (870) 336-1100
1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432
616 W Keiser Ave
Osceola, AR 72370
Phone (870) 563-5888
Interoperability endpoints
- jharris38597@direct.bmhcc.org
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.
-
- Multi-Specialty Clinic/Center
- Jonesboro, AR
- NPI 1861721839
AR
-
- Clinical Medical Laboratory
- Jonesboro, AR
- NPI 1801127030
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jonesboro, AR
- NPI 1447581673
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jonesboro, AR
- NPI 1033491519
-
- Mobile Mammography Clinic/Center
- Jonesboro, AR
- NPI 1417721689
-
- Anesthesiology Physician
- Jonesboro, AR
- NPI 1992036032
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
Hospital
-
- General Acute Care Hospital
- Blytheville, AR
- NPI 1316180748
Hospital
-
- Rural Acute Care Hospital
- Osceola, AR
- NPI 1366685992
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1780244517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1960",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724031960",
"telephone_number": "870-936-8000",
"fax_number": "870-934-3651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 W KEISER AVE",
"city": "OSCEOLA",
"state": "AR",
"postal_code": "723703504",
"telephone_number": "870-936-8000",
"fax_number": "870-934-3651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JEFFERY",
"middle_name": "F",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-14",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "120272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Osceola, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.