DR. JASMINE SIMONE MCKISSICK MD
NPI 1619553393
Family Medicine in Monticello, AR
About Dr. Jasmine Simone Mckissick Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JASMINE SIMONE MCKISSICK MD (NPI 1619553393) is an individual family medicine provider in Monticello, Arkansas, licensed in Arkansas (E-17905) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jasmine Simone Mckissick Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MONTICELLO, AR 71655
MONTICELLO, AR 71655
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 Jasmine Mckissick's NPI number?
The NPI number for Jasmine Mckissick is 1619553393. It was assigned to this individual provider in the NPPES registry on March 22, 2021.
Where is Jasmine Mckissick located?
Jasmine Mckissick practices at 535 Jordan Dr, Monticello, AR 71655. The listed phone number is (870) 367-6246.
What is Jasmine Mckissick's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jasmine Mckissick enrolled in Medicare?
Yes. Jasmine Mckissick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Jasmine Mckissick accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Molina Healthcare, Octave and Oscar Health Plan, Inc. and 1 other insurer list Jasmine Mckissick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jasmine Mckissick was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Jasmine Simone Mckissick, MD · NPI 1619553393
Family Medicine physician in Monticello, Arkansas. Individual provider, active in the CMS NPPES registry since March 22, 2021.
## Identity
- **NPI:** 1619553393 (Entity type: Individual)
- **Enumerated:** March 22, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** E-17905 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 535 JORDAN DR, Monticello, AR 71655-5714
- **Phone:** (870) 367-6246
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Arkansas College Of Medicine, class of 2021
## Record status
- **NPPES last updated:** March 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1619553393) · Data from the CMS NPPES public registry.