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JESSE TOMPKINS
NPI 1609661719
Student in an Organized Health Care Education/Training Program in Fayetteville, AR

Active since April 10, 2025PECOS Enrolled
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703(479) 713-8000 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesse Tompkins NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE TOMPKINS (NPI 1609661719) is an individual student in an organized health care education/training program in Fayetteville, Arkansas and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609661719
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJESSE TOMPKINS
Location Address1125 N COLLEGE AVEFayetteville, AR 72703-1908
Mailing Address4601 W Markham St Apt 103l-2Little Rock, AR 72205-3897 · (870) 953-0151
Phone(479) 713-8000
Sole ProprietorNo
Enumeration DateApril 10, 2025
NPPES CertifiedApril 10, 2025
✔ NPI 1609661719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1125 N COLLEGE AVE, Fayetteville, AR 72703
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesse Tompkins is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACE WOOD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 713-8000
COLIN CARR MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 463-3370
JENNIFER STEINAUER PTA
Physical Therapy Assistant
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 713-8630
RYAN RUSSELL
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
KELVIN VANN
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
LUKE TOLLETT MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
DR. TONY SCOTT ROLLER II MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260
DR. JAMILA WEATHERLY MD
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Washington County (479) 521-8260

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Tompkins's NPI number?

The NPI number for Jesse Tompkins is 1609661719. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is Jesse Tompkins located?

Jesse Tompkins practices at 1125 N College Ave, Fayetteville, AR 72703. The listed phone number is (479) 713-8000.

What is Jesse Tompkins's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jesse Tompkins enrolled in Medicare?

Yes. Jesse Tompkins is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jesse Tompkins was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.