MOLLYE JENAY KOONCE (APRN, FNP-C) – Family Nurse Practitioner, NPI 1497271456
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Loading map...
Provider Addresses for MOLLYE JENAY KOONCE (APRN, FNP-C)
Jefferson Regional Medical Center, 1600, West 40th Avenue, Pine Bluff, Jefferson County, Arkansas, 71603, United States
PINE BLUFF, AR 716036301
Phone: (870) 541-7100
Type: Mailing
342 HIGHWAY 425 S
MONTICELLO, AR 716554612
Phone: (870) 942-3000
Fax: (870) 942-3005
Type: Mailing
PO BOX 509
DERMOTT, AR 716380509
Phone: (870) 538-5414
Fax: (870) 538-5412
Type: Mailing
506 LITTLE CREEK CUT OFF RD
SHERIDAN, AR 721507798
Phone: (870) 942-3000
Fax: (870) 942-3005
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $190.
Total Amount is formed as General ($190) + Research ($0) + Ownership ($0) = $190.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Lilly USA, LLC ($71).
Total Amount
$190
General + Research + Ownership
Payments
12
Total payment records
General Amount
$190
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-09-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170928000660 | I | Nurse Practitioner | AR | TBD |
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.
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 71603)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| - | AR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.