Individual provider Active NPI

Jennifer Elaine Cox, FNP

  • Family Nurse Practitioner
  • Conway, AR
National Provider Identifier
1992125595
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004006 Issued in AR
Practice address
3025 Fountain Dr
Suite 100
Conway, AR 72034-3689
Phone
(501) 932-5060
NPI assigned
Apr 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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 A004006 AR Primary

Addresses

Primary practice location

3025 Fountain Dr
Suite 100
Conway, AR 72034-3689

Mailing address

3025 Fountain Dr
Suite 100
Conway, AR 72034-3689
Phone (501) 932-5060

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
I20141119002098 AR Practitioner - Nurse Practitioner 6204058670 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Central ArkansasGroup PAC ID 0042612244, 7 clinicians

Practice addresses (Care Compare)

2200 Bruce St
Conway, AR 72034-6108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A004006ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group CurrentSince Aug 24, 2014 Accepting new patients
Curana Health of Arkansas LLC Family CurrentSince Feb 29, 2016 Accepting new patients
University of Central Arkansas CurrentSince Aug 2, 2021 Accepting new patients
University of Central Arkansas CurrentSince Aug 2, 2021 Accepting new patients
University of Central Arkansas Family PastSince Feb 13, 2022 Accepting new patients

Locations

609 SW 8th St
Fl 6
Bentonville, AR 72712
Phone (479) 349-2579

201 Donaghey Ave
Conway, AR 72035
Phone (501) 450-3136

201 Donaghey Ave
Ste 101
Conway, AR 72035

3025 Fountain Dr
Ste 100
Conway, AR 72034
Phone (501) 269-1656

16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888

Organizations & group practices 5

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1992125595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 FOUNTAIN DR",
            "address_2": "SUITE 100",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343689",
            "telephone_number": "501-932-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 FOUNTAIN DR",
            "address_2": "SUITE 100",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343689",
            "telephone_number": "501-932-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "JENNIFER",
        "middle_name": "ELAINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.