JESSIE MERANDA STUCKEY (MNSC, APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1114571072

JESSIE MERANDA STUCKEY (MNSC, APRN, PMHNP-BC) is a healthcare provider. based in Little rock, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials MNSC, APRN, PMHNP-BC. They hold a License No. 121696 (AR). The NPI Number for JESSIE MERANDA STUCKEY (MNSC, APRN, PMHNP-BC) is 1114571072

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
JESSIE MERANDA STUCKEY (MNSC, APRN, PMHNP-BC)
NPI
1114571072
Phone
Not provided
Address
6601 W 12TH ST
Enumeration Date
30 July 2019
Last Update Date
14 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5019044762
Graduation Year
2019 (7 years ago)
PAC ID
2062847940
Group Practice PAC ID
7012258627
Professional Enrollment ID
I20200123000630
Address ID
AR722112491LI11501LNXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

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Provider Addresses for JESSIE MERANDA STUCKEY (MNSC, APRN, PMHNP-BC)

  • 6601, West 12th Street, University Park, Oak Forest, Little Rock, Pulaski County, Arkansas, 72204, United States

    LITTLE ROCK, AR 722041513

    Phone:

    Type: Mailing

  • 11501 HURON LN STE 5

    LITTLE ROCK, AR 722112491

    Phone: (501) 904-4762

    Fax: (501) 708-2185

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 91 Open Payments records for all available years, with a total value of $2,037.

Total Amount is formed as General ($2,037) + Research ($0) + Ownership ($0) = $2,037.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Neuronetics, Inc. ($583).

Total Amount

$2,037

General + Research + Ownership

Payments

91

Total payment records

General Amount

$2,037

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2020-01-23

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
I20200123000630INurse 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
90833Psychotherapy with evaluation and management visit, 30 minutes5317$0
99214Established patient office or other outpatient visit, 30-39 minutes3913$0
90792Psychiatric diagnostic evaluation with medical services3131$0
View full utilization report →

Insurance plans in this area (ZIP 72204)

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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: 7012258627View full group profile
NameSpecialtyState
-AR
Psychiatry, Addiction MedicineAR
Nurse PractitionerAR
Nurse PractitionerAR
Clinical Social WorkerAR
Nurse PractitionerAR
Clinical Social WorkerAR
Nurse PractitionerMO
Mental Health CounselorAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

Is there an official ID for JESSIE MERANDA STUCKEY (MNSC, APRN, PMHNP-BC) in U.S. healthcare records?
The official identifier for JESSIE MERANDA STUCKEY (MNSC, APRN, PMHNP-BC) is NPI 1114571072.
Is there an active status for JESSIE MERANDA STUCKEY (MNSC, APRN, PMHNP-BC)?
For scheduling context, JESSIE MERANDA STUCKEY (MNSC, APRN, PMHNP-BC) is shown as active in the registry.
How would a patient describe JESSIE MERANDA STUCKEY (MNSC, APRN, PMHNP-BC)'s focus?
For JESSIE MERANDA STUCKEY (MNSC, APRN, PMHNP-BC), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with JESSIE MERANDA STUCKEY (MNSC, APRN, PMHNP-BC)?
Directory geography for JESSIE MERANDA STUCKEY (MNSC, APRN, PMHNP-BC) centers on Little Rock, Arkansas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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