Individual provider Active NPI

Jessica R Reed-Schmid, APRN

  • Family Nurse Practitioner
  • Malvern, AR
National Provider Identifier
1780925248
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A003809 Issued in AR
Practice address
2204 E Sullenberger Ave
Malvern, AR 72104-4806
Phone
(501) 332-6972
NPI assigned
Mar 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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 A003809 AR Primary

Addresses

Primary practice location

2204 E Sullenberger Ave
Malvern, AR 72104-4806

Mailing address

2204 E Sullenberger Ave
Malvern, AR 72104-4806
Phone (501) 332-6972

Other identifiers 1

IdentifierTypeStateIssuer
197982758MedicaidAR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130606000042 AR Practitioner - Nurse Practitioner 0547408387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Arkansas Department of Health Payroll OfficeGroup PAC ID 5799696779, 28 clinicians

Practice addresses (Care Compare)

4815 W Markham St
Little Rock, AR 72205-3866
Phone (501) 661-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A003809ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Healthcare Services LLC CurrentSince Apr 25, 2018 Accepting new patients

Locations

1900 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 624-0123

1900 Malvern Ave
Ste 401
Hot Springs National Park, AR 71901
Phone (501) 623-6455

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4
  • Direct secure messaging: jreed163603@directb.mercy.net

Organizations & group practices 2

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": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1780925248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 E SULLENBERGER AVE",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721044806",
            "telephone_number": "501-332-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 E SULLENBERGER AVE",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721044806",
            "telephone_number": "501-332-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED-SCHMID",
        "first_name": "JESSICA",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197982758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, AR

Sources for this page

Verify at the official NPI Registry.