Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson Payne

Individual provider Primary Care Nurse Practitioner · NPI 1194407379

Jackson Payne is a Nurse Practitioner in Rogers, Arkansas. Qualified in 2023, 3 years ago. Practices with Mercy Health Northwest Arkansas Communities, a 316-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
3
Licensed in
AR
In the registry since
2023

Practice location Address checks out

2708 S Rife Medical Ln Ste 210
Rogers, AR 72758-1456
Phone: (479) 338-3888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 226845 (AR)

Record details

NPI number1194407379
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2023
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024
Mailing addressPo Box 776084, Chicago, IL 60677-6084

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mercy Health Northwest Arkansas Communities — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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