Individual provider Active NPI

Jill Thomas

  • Gerontology Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1942626619
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
A004022 Issued in AR
Practice address
12120 Colonel Glenn Rd
Little Rock, AR 72210
Phone
(501) 296-9043
NPI assigned
Mar 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X A004022 AR Primary

Addresses

Primary practice location

12120 Colonel Glenn Rd
Little Rock, AR 72210

Mailing address

1509 Dulles Dr
Lafayette, LA 70506-3718
Phone (337) 991-9276

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
I20140515002018 AR Practitioner - Nurse Practitioner 9931322179 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appello Health and Wellness Clinic LLCGroup PAC ID 3971043290, 76 clinicians

Practice addresses (Care Compare)

2223 Grant St
Malvern, AR 72104-4700
Phone (501) 337-9031

Hospital & facility affiliations

  • Stat Home Health - Cenark, LLC Home health agency, Little Rock, AR, CCN 047117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A004022ARMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Mental Health and Wellness, LLC CurrentSince Aug 31, 2022 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Apr 1, 2014 Accepting new patients
Arkansas Psychiatric Clinic Clinical Research Trials, PA CurrentSince Sep 1, 2015 Accepting new patients
Quality Healthcare Resources LLC CurrentSince Jan 1, 2019 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Apr 1, 2014 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Apr 1, 2025 Accepting new patients
Renew Mental Health and Wellness LLC Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 6, 2026 Accepting new patients
Bradley Bibb MD PLLC CurrentSince Apr 1, 2025 Accepting new patients
Arkansas Psychiatric Clinic, Professional Association CurrentSince Jun 15, 2015 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Apr 1, 2025 Accepting new patients
Bradley Bibb MD PLLC CurrentSince Apr 1, 2025 Accepting new patients
Access Medical Clinic Arkansas LLC Current Accepting new patients
Access Medical Clinic Arkansas LTC LLC Current Accepting new patients

Locations

871 W Main St
Booneville, AR 72927
Phone (479) 675-4100

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

20 Wilson Farm Rd
Greenbrier, AR 72058
Phone (501) 679-8970

1150 E Matthews Ave
Ste 101A
Jonesboro, AR 72401
Phone (870) 243-0424

2200 S Bowman Rd
Ste A
Little Rock, AR 72211
Phone (501) 558-4100

4 Executive Center Ct
Little Rock, AR 72211
Phone (501) 448-0060

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1308 E Page Ave
Malvern, AR 72104
Phone (501) 337-9820

1016 N Fourche Ave
Perryville, AR 72126
Phone (501) 237-1284

3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080

333 Melody Dr
Trumann, AR 72472
Phone (870) 275-4068

106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: jill.thomas.1@29938.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

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": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1942626619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063718",
            "telephone_number": "337-991-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12120 COLONEL GLENN RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72210",
            "telephone_number": "501-296-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-05",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A004022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.