Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356005250 Individual Practitioner Female Practitioner

Jo Blasengame , AGACNP-BC

Nurse Practitioner • Pine Bluff, AR

Professional Overview & Biography Verified Profile Summary

Jo Blasengame, AGACNP-BC is a registered healthcare professional specializing in Nurse Practitioner in Pine Bluff, AR. Practice services are available at 1609 W 40TH AVE STE 205 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1609 W 40th Ave Ste 205

Pine Bluff, AR 716036367

Telephone 8705417211
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Pine Bluff, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Pine Bluff, AR (702 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-27
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AR 217776

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License AR 217776

Definition to come...

Secondary Practice Locations

2894 Autumn Hills Rd

Star City, AR 716679554

Phone: 8706283842

4310 S Mulberry St

Pine Bluff, AR 716037030

Phone: 8705417211

1609 W 40th Ave Ste 111

Pine Bluff, AR 716036319

Phone: 8705417211

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Megan Holloway

Nurse Practitioner - Obstetrics & Gynecology

NPI 1245612431
Dr. Shahid Hameed , MD

Radiology - Radiation Oncology

NPI 1710997655

Doctor of Medicine (M.D.)

Julia Meyer , PA-C

Physician Assistant

NPI 1780356642

Physician Assistant (Certified)

Dr. Sarenthia Epps , MD

Internal Medicine - Pulmonary Disease

NPI 1871955526

Doctor of Medicine (M.D.)

Dr. Nabeel Siddiqui , MD

Internal Medicine - Pulmonary Disease

NPI 1902228810

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 27, 2023

Registered at 1609 W 40TH AVE STE 205, PINE BLUFF, AR 716036367 (Tel: 8705417211)

📍
Updated Business Mailing Address January 27, 2023

Registered at PO BOX 2650, PINE BLUFF, AR 716132650 (Tel: 8705417211)

NPI Profile Active October 26, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2021

Registered at 2894 AUTUMN HILLS RD, STAR CITY, AR 716679554 (Tel: 8706283842)

📍
Updated Business Mailing Address October 26, 2021

Registered at 2894 AUTUMN HILLS RD, STAR CITY, AR 716679554 (Tel: 8706283842)

👤
Provider Name / Credentials Updated October 26, 2021

Recorded as JO BLASENGAME, AGACNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2021

Nurse Practitioner (License #217776 in AR)

🟢
Initial NPI Registration & Enumeration October 26, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356005250
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2021
Last Update: January 27, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 2650

Pine Bluff, AR 716132650

Phone: 8705417211

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.