TAMEKA HENRY (APRN) – Family Nurse Practitioner, NPI 1730594342

TAMEKA HENRY (APRN) is a healthcare provider. based in Jacksonville, Arkansas. specializing in Family Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. A004115 (AR). The NPI Number for TAMEKA HENRY (APRN) is 1730594342

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
TAMEKA HENRY (APRN)
NPI
1730594342
Phone
(501) 987-5433
Address
1090 ARNOLD DR
Enumeration Date
23 June 2014
Last Update Date
26 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5016766560
Graduation Year
2014 (12 years ago)
PAC ID
5496977555
Group Practice PAC ID
1850539198
Professional Enrollment ID
I20141105002340
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for TAMEKA HENRY (APRN)

  • 1090 ARNOLD DR

    JACKSONVILLE, AR 720997274

    Phone: (501) 987-5433

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-11-05

PECOS data refreshed: 2026-06-15

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
I20141105002340INurse 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 72099)

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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: 1850539198View full group profile
NameSpecialtyState
-AR
Family PracticeAR
Nurse PractitionerAR
Nurse PractitionerAR
-AR
-AR
Nurse PractitionerAR
Nurse PractitionerTN
-TX
Family Practice, Emergency MedicineAR

Reviews

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Frequently asked questions

Can I use this page to confirm TAMEKA HENRY (APRN)'s NPI?
Yes. TAMEKA HENRY (APRN) is listed with NPI 1730594342 in the public NPI dataset.
Can I rely on TAMEKA HENRY (APRN) being an active provider?
As of the registry snapshot, TAMEKA HENRY (APRN) is marked active.
What healthcare role does TAMEKA HENRY (APRN) hold?
Scheduling teams often label TAMEKA HENRY (APRN) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is TAMEKA HENRY (APRN) based?
TAMEKA HENRY (APRN) is tied to Jacksonville, Arkansas in the data we show; additional addresses may exist on the full record.
Is the information about TAMEKA HENRY (APRN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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