STEPHANIE P PATTERSON (PMHNP-BC, APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1063016962

STEPHANIE P PATTERSON (PMHNP-BC, APRN) is a healthcare provider. based in Jonesboro, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC, APRN. They hold a License No. 2018022292 (MO). The NPI Number for STEPHANIE P PATTERSON (PMHNP-BC, APRN) is 1063016962

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE P PATTERSON (PMHNP-BC, APRN)
NPI
1063016962
Phone
(870) 932-2800
Address
2712 E JOHNSON AVE
Enumeration Date
23 November 2020
Last Update Date
22 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8709724100
Graduation Year
2023 (3 years ago)
PAC ID
3274075973
Group Practice PAC ID
0941105480
Professional Enrollment ID
I20240617000060
Address ID
AR724051874JO2712XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:5State licenses:2Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for STEPHANIE P PATTERSON (PMHNP-BC, APRN)

  • 2712 E JOHNSON AVE

    JONESBORO, AR 724051874

    Phone: (870) 932-2800

    Type: Mailing

  • 323 S CHURCH ST

    JONESBORO, AR 724012913

    Phone: (870) 336-6450

    Fax: (949) 649-3327

    Type: Location

  • 501 HIGHWAY J

    HAYTI, MO 638511200

    Phone: (573) 359-9840

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($108).

Total Amount

$108

General + Research + Ownership

Payments

2

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240617000060INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72405)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941105480View full group profile
NameSpecialtyState
Clinical Social WorkerAR
-AR
P S Y C H I A T R YTX
-CA
Pulmonary DiseaseAR
Clinical Social WorkerAR
-AR
Nurse PractitionerAR
Nurse PractitionerAR
P S Y C H I A T R YAR

Reviews

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Frequently asked questions

How is STEPHANIE P PATTERSON (PMHNP-BC, APRN) identified in CMS data?
CMS-hosted NPPES data lists STEPHANIE P PATTERSON (PMHNP-BC, APRN) with NPI 1063016962.
Does CMS list STEPHANIE P PATTERSON (PMHNP-BC, APRN) as active?
Yes — STEPHANIE P PATTERSON (PMHNP-BC, APRN) is active in the NPI listing used on this page.
What is STEPHANIE P PATTERSON (PMHNP-BC, APRN)'s specialty?
The listing groups STEPHANIE P PATTERSON (PMHNP-BC, APRN) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does STEPHANIE P PATTERSON (PMHNP-BC, APRN) list a practice location?
Patients near Jonesboro, Arkansas may find STEPHANIE P PATTERSON (PMHNP-BC, APRN) in results; validate coverage separately.
Is the information about STEPHANIE P PATTERSON (PMHNP-BC, APRN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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