Individual provider Active NPI

Jaimie Leigh Neal, APRN, FNP-C

  • Family Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1851960025
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216445 Issued in AR
Practice address
7306 Rogers Ave
Fort Smith, AR 72903-4164
Phone
(479) 314-2807
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 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 216445 AR Primary

Addresses

Primary practice location

7306 Rogers Ave
Fort Smith, AR 72903-4164

Mailing address

7306 Rogers Ave
Fort Smith, AR 72903-4164
Phone (479) 314-2807

Other practice location 1

1001 Towson Ave
Fort Smith, AR 72901-4921
Phone (479) 441-5078

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
I20220725002520 AR Practitioner - Nurse Practitioner 4486035201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Integrity Arkansas, PAGroup PAC ID 5496161945, 9 clinicians

Practice addresses (Care Compare)

7306 Rogers Ave
Fort Smith, AR 72903-4164
Phone (479) 314-2804

Hospital & facility affiliations

  • Access Home Health Home health agency, Fort Smith, AR, CCN 047009
  • Mercy Home Health Home health agency, Rogers, AR, CCN 047149
  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
  • Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216445ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Jul 18, 2022 Accepting new patients
Wound Integrity Arkansas PA CurrentSince Jan 1, 2024 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jul 18, 2022 Accepting new patients
Mercy Hospital Fort Smith Past Accepting new patients

Locations

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7306 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-2804

13501 Chenal Pkwy
Ste 101
Little Rock, AR 72211
Phone (501) 239-9146

Organizations & group practices 4

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 4

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1851960025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7306 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034164",
            "telephone_number": "479-314-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7306 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034164",
            "telephone_number": "479-314-2807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Towson Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729014921",
            "country_code": "US",
            "telephone_number": "479-441-5078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEAL",
        "first_name": "JAIMIE",
        "middle_name": "LEIGH",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "216445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.