Individual provider Active NPI

Jessica Rose Minton, APRN

  • Family Nurse Practitioner
  • Van Buren, AR
National Provider Identifier
1780316844
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
218693 Issued in AR
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

Updated by the provider on Jun 28, 2022

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 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, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
218693ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Wound Specialists LLC CurrentSince Dec 20, 2024 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.

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

Verify at the official NPI Registry.