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DR. JASMINE SIMONE MCKISSICK MD
NPI 1619553393
Family Medicine in Monticello, AR

Active since March 22, 2021PECOS EnrolledAccepts Medicare Assignment
535 JORDAN DR, MONTICELLO, AR 71655(870) 367-6246 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 26, 2026, Feb 6, 2026, Oct 8, 2025 and 3 more (6 updates tracked since 2021).

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

NPI1619553393
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JASMINE SIMONE MCKISSICKCredential: MD
Location Address535 JORDAN DRMonticello, AR 71655-5714
Mailing Address342 Highway 425 SMonticello, AR 71655-4612 · (870) 942-3000 · Fax (870) 942-3005
Phone(870) 367-6246
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2021
Enumeration DateMarch 22, 2021
Last NPPES UpdateMarch 26, 20266 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
✔ NPI 1619553393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · E-17905
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
535 JORDAN DR, Monticello, AR 71655
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

PECOS PAC ID1355746983
PECOS Enrollment IDI20240725001472, I20251021000708
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jasmine Mckissick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mainline Health Systems, Inc
2.0 mi
Federally Qualified Health Center (FQHC)
342 HIGHWAY 425 S
Monticello, AR 71655
  • Reassigned Medicare billing, Arkansas enrollment
  • 63 clinicians in this Medicare group
NPI 1669401501 (870) 942-3000
Ut Medical Group Inc
151 mi
Multi-Specialty
1068 CRESTHAVEN RD STE 300
Memphis, TN 38119
  • Reassigned Medicare billing, Tennessee enrollment
  • 157 clinicians in this Medicare group
NPI 1780676650 (901) 866-8864

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

MAINLINE HEALTH SYSTEMS INC
Clinic/Center (Federally Qualified Health Center (FQHC))
535 JORDAN DR
MONTICELLO, AR 71655
Drew County (870) 367-6246
MRS. JAIME B HARVEY MS, LAC
Counselor (Professional)
535 JORDAN DR
MONTICELLO, AR 71655
Drew County (870) 367-6246
MAINLINE PHARMACY SERVICES INC
Pharmacy (Long Term Care Pharmacy)
535 JORDAN DR
MONTICELLO, AR 71655
Drew County (870) 224-0651
KELLY DEAN SHRUM DO
Obstetrics & Gynecology
535 JORDAN DR
MONTICELLO, AR 71655
Drew County (870) 367-6246
JANE Y PELKKI RDN
Nutritionist (Nutrition, Education)
535 JORDAN DR
MONTICELLO, AR 71655
Drew County (870) 367-6246
MRS. LEIA DAWN O'FALLON ANP
Nurse Practitioner (Obstetrics & Gynecology)
535 JORDAN DR
MONTICELLO, AR 71655
Drew County (870) 367-6246
HANNAH A HILTON
Nurse Practitioner (Family)
535 JORDAN DR
MONTICELLO, AR 71655
Drew County (870) 367-6246
KATY BROWN PLMSW
Social Worker
535 JORDAN DR
MONTICELLO, AR 71655
Drew County (870) 367-6246

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.

Which organizations bill Medicare for Jasmine Mckissick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jasmine Mckissick reassigns Medicare benefits to 2 organizations: Mainline Health Systems, Inc (Monticello, AR) and Ut Medical Group Inc (Memphis, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jasmine Mckissick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jasmine Mckissick accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers 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 7 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.