JOANN MAHAN (APRN) – Family Nurse Practitioner, NPI 1104225317

JOANN MAHAN (APRN) is a healthcare provider. based in Fort smith, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. R43284 (AR). The NPI Number for JOANN MAHAN (APRN) is 1104225317

Main info

Female
12 Years Of Experience
Name
JOANN MAHAN (APRN)
NPI
1104225317
Phone
(479) 242-2888
Address
3416 OLD GREENWOOD RD
Enumeration Date
14 August 2014
Last Update Date
27 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4792263132
Graduation Year
2014 (12 years ago)
PAC ID
2062725534
Group Practice PAC ID
0244524072
Professional Enrollment ID
I20150714000348
Address ID
AR729014738FO708XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for JOANN MAHAN (APRN)

  • 3416 OLD GREENWOOD RD

    FORT SMITH, AR 729035462

    Phone: (479) 242-2888

    Fax: (479) 242-2889

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $2,357.

Total Amount is formed as General ($2,357) + Research ($0) + Ownership ($0) = $2,357.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Medtronic, Inc. ($1,992).

Total Amount

$2,357

General + Research + Ownership

Payments

33

Total payment records

General Amount

$2,357

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2015-07-14

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
I20150714000348INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes365302$0
80305Testing for presence of drug, read by direct observation359292$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg11322$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes11059$0
96138Administration of psychological or neuropsychological test by technician, first 30 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 72903)

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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: 0244524072View full group profile
NameSpecialtyState
R H E U M A T O L O G YAR
Physician AssistantAR
Family Practice, Emergency Medicine, Pain ManagementAR

Reviews

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Frequently asked questions

What unique ID ties claims to JOANN MAHAN (APRN)?
NPI 1104225317 is assigned to JOANN MAHAN (APRN) under the national enumeration system.
Does this profile mean JOANN MAHAN (APRN) is currently active?
Yes — JOANN MAHAN (APRN) appears active in the national provider directory.
What kind of provider is JOANN MAHAN (APRN)?
The page reflects Family Nurse Practitioner for JOANN MAHAN (APRN). Clinical services aligned with this taxonomy classification.
Where is JOANN MAHAN (APRN)'s primary listing?
We display Fort Smith, Arkansas because that is what the record indicates for JOANN MAHAN (APRN).
What if Fort Smith, Arkansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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