Individual provider Active NPI

Jessica Matthews, NP-C FNP-C

  • Family Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1831850130
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
218273 Issued in AR
Practice address
1201 Fleming Ave
Jonesboro, AR 72401-4311
Phone
(870) 933-5174
Fax
(870) 933-5235
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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 218273 AR Primary

Addresses

Primary practice location

1201 Fleming Ave
Jonesboro, AR 72401-4311

Mailing address

1201 Fleming Ave
Jonesboro, AR 72401-4311
Phone (870) 933-5174

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
I20220208002997 AR Practitioner - Nurse Practitioner 8729471073 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
Medical Rehab Group LLPGroup PAC ID 9133429152, 3 clinicians

Practice addresses (Care Compare)

1201 Fleming Ave
Jonesboro, AR 72401-4311
Phone (870) 933-5174

Hospital & facility affiliations

  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218273ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Rehab Group LLP CurrentSince May 15, 2024 Accepting new patients

Locations

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

Interoperability endpoints

  • Direct secure messaging: jessica.matthews.1@31647.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1831850130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 FLEMING AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014311",
            "telephone_number": "870-933-5174",
            "fax_number": "870-933-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FLEMING AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014311",
            "telephone_number": "870-933-5174",
            "fax_number": "870-933-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "JESSICA",
        "credential": "NP-C FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "218273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.