Active NPI
Jessica Rose Minton, APRN
- Family Nurse Practitioner
- Van Buren, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 218693
- Practice address
- 2010 Chestnut St
Van Buren, AR 72956-5321 - Phone
- (479) 262-2724
- NPI assigned
- Jun 28, 2022
- Sex
- Female
- 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 | 218693 | AR | Primary |
Addresses
Primary practice location
2010 Chestnut St
Van Buren, AR 72956-5321
Mailing address
2010 Chestnut St
Van Buren, AR 72956-5321
Phone (479) 262-2724
Other practice location 1
4001 Wagon Wheel Rd
Springdale, AR 72762-0137
Phone (479) 272-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250123003754 | OK | Practitioner - Nurse Practitioner | 9436688280 | |
| I20250305004032 | AR | Practitioner - Nurse Practitioner | 9436688280 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218693 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Wound Specialists LLC | Current | Accepting new patients |
Locations
6108 S 31st St
Fort Smith, AR 72908
Phone (479) 242-9355
305 N Greenwood Ave
Fort Smith, AR 72901
Phone (479) 353-9567
403 Morrow St N
Ste D
Mena, AR 71953
Phone (479) 437-6080
7233 S 85th East Ave
Ste 100
Tulsa, OK 74133
Phone (918) 720-4957
Organizations & group practices 1
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.
-
- Clinic/Center
- Broken Arrow, OK
- NPI 1902630122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1780316844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 CHESTNUT ST",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729565321",
"telephone_number": "479-262-2724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 CHESTNUT ST",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729565321",
"telephone_number": "479-262-2724"
}
],
"practiceLocations": [
{
"address_1": "4001 Wagon Wheel Rd",
"address_purpose": "LOCATION",
"city": "Springdale",
"state": "AR",
"postal_code": "727620137",
"country_code": "US",
"telephone_number": "479-272-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINTON",
"first_name": "JESSICA",
"middle_name": "ROSE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-28",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "218693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Buren, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.