Individual provider Active NPI

Jeffrey Kemper, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cabot, AR
National Provider Identifier
1891561247
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
125049 Issued in AR
Practice address
2796 S 2ND St Ste E
Cabot, AR 72023-7043
Phone
(501) 443-3818
Fax
(501) 521-1001
NPI assigned
Nov 28, 2023
Last updated
May 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 125049 AR Primary

Addresses

Primary practice location

2796 S 2ND St Ste E
Cabot, AR 72023-7043

Mailing address

2796 S 2ND St Ste E
Cabot, AR 72023-7043
Phone (501) 443-3818

Other practice location 1

3348 Main St Ste 100
Bryant, AR 72022-5013
Phone (501) 443-3818

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
I20231228001473 AR Practitioner - Nurse Practitioner 3476903717 Reassigns benefits to 1 organization
Practice locations: Bryant, AR; Cabot, AR

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2796 S 2ND St
Suite E
Cabot, AR 72023-7043
Phone (501) 443-3818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125049ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Kemper Pmhnp-BC PLLC Psychiatric/Mental Health CurrentSince Mar 27, 2024 Accepting new patients

Locations

3348 Main St
Ste 100
Bryant, AR 72022
Phone (501) 443-3818

2796 S 2nd St
Ste E
Cabot, AR 72023
Phone (501) 443-3818

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1891561247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2796 S 2ND ST STE E",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237043",
            "telephone_number": "501-443-3818",
            "fax_number": "501-521-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2796 S 2ND ST STE E",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237043",
            "telephone_number": "501-443-3818",
            "fax_number": "501-521-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3348 Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bryant",
            "state": "AR",
            "postal_code": "720225013",
            "country_code": "US",
            "telephone_number": "501-443-3818",
            "fax_number": "501-521-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMPER",
        "first_name": "JEFFREY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-28",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "125049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

Verify at the official NPI Registry.