Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Chrissy Jackson , QBHP

Case Manager/Care Coordinator β€’ Rogers, AR

Active NPI 1386935260 Individual Practitioner Female Practitioner
Practice location in NPPES

2005 W Elm St
Rogers, AR 727584018

Call 4796360083 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2005 W Elm St

Rogers, AR 727584018

Telephone 4796360083
Fax 4796360144
Organization at the Same NPPES Address or Phone
Burrell, Inc. Facility NPI 1013045715

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Fayetteville, AR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Rogers and Arkansas

18 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Rogers, AR (11,189 in Arkansas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Rogers

0% of these 18 clinicians have the CMS telehealth indicator.

0% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-03-29
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arkansas State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
231304795 (AR)

Secondary Practice Locations

4171 N Crossover Rd

Fayetteville, AR 727034591

Phone: 4795211532

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Dr. Steven Kory , MD

Psychiatry & Neurology - Psychiatry

NPI 1467489450

Doctor of Medicine (M.D.)

Oluleke Olaiya , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1952034191

Psychiatric-Mental Health Nurse Practitioner

Jason Seed , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1316312267

Psychiatric-Mental Health Nurse Practitioner

Alicia Williams , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1215687637

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location March 30, 2021

Registered at 2005 W ELM ST, ROGERS, AR 727584018 (Tel: 4796360083)

πŸ“
Updated Business Mailing Address March 30, 2021

Registered at 2885 W BATTLEFIELD ST, SPRINGFIELD, MO 658073952

πŸ‘€
Provider Name / Credentials Updated March 30, 2021

Recorded as CHRISSY JACKSON, QBHP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2021

Case Manager/Care Coordinator

βœ…
NPI Profile Active April 26, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 26, 2011

Registered at 4171 N CROSSOVER RD, FAYETTEVILLE, AR 727034591 (Tel: 4795211532)

πŸ“
Business Mailing Address (Initial Record) April 26, 2011

Registered at 4171 N CROSSOVER RD, FAYETTEVILLE, AR 72703

πŸ‘€
Provider Name / Credentials (Initial Record) April 26, 2011

Recorded as CHRISSY CARSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2011

Counselor

🟒
Initial NPI Registration & Enumeration April 26, 2011

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1386935260
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2011
Last Update: March 30, 2021
Sole Proprietor: No

Mailing Address

2885 W Battlefield St

Springfield, MO 658073952

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.