MOBLEY MEDICAL CLINIC PLLC
NPI 1871250555
Nurse Practitioner - Acute Care in El Dorado, AR

Q: What is Mobley Medical Clinic PLLC's NPI number?

The NPI number for Mobley Medical Clinic PLLC is 1871250555. It was assigned to this organization in the NPPES registry on November 17, 2021.

Q: What is Mobley Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since November 17, 2021CLIA 04D2241913 · Waiver

708 S TIMBERLANE DR STE A, EL DORADO, AR 71730(870) 639-6465(870) 639-6470 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2024, May 12, 2022, Dec 13, 2021 and 1 more (4 updates tracked since 2021).

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About Mobley Medical Clinic Pllc NPPES

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

MOBLEY MEDICAL CLINIC PLLC (NPI 1871250555) is a healthcare organization registered as an acute care in El Dorado, Arkansas and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through November 2, 2027 and lists Jessica Pate Mobley, Member/owner, as its authorized official.

NPPES Registry Identity

NPI1871250555

Entity TypeOrganization

Primary Taxonomy363LA2100X

Legal Business NameMOBLEY MEDICAL CLINIC PLLC

Location Address708 S TIMBERLANE DR STE AEl Dorado, AR 71730-6991

Mailing Address708 S Timberlane Dr Ste AEl Dorado, AR 71730-6991 · (870) 639-6465 · Fax (870) 639-6470

Phone(870) 639-6465

Fax(870) 639-6470

Organization SubpartNo

Authorized OfficialJessica Pate MobleyMember/owner · (870) 639-6465

Enumeration DateNovember 17, 2021

Last NPPES UpdateDecember 18, 20244 updates tracked since enumeration

NPPES CertifiedDecember 18, 2024

✔ NPI 1871250555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

708 S TIMBERLANE DR STE A, El Dorado, AR 71730

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Other Identifiers 2

Other1X1853AR · Medicare

Medicaid281608762AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2241913

Mobley Medical Clinic · El Dorado, AR

Active · expires Nov 2, 2027

CLIA Number04D2241913

Laboratory TypePractitioner Other

Certificate Effective DateNovember 3, 2025

Certificate Expiration DateNovember 2, 2027

Laboratory DirectorMs. Jessica Mobley

Laboratory Phone(870) 807-1284

Laboratory LocationMobley Medical Clinic708 South Timberlane, Suite A, El Dorado, AR 71730

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

JESSICA P MOBLEY APN

Nurse Practitioner (Acute Care)

708 S TIMBERLANE DR STE A
EL DORADO, AR 71730

Union County (870) 639-6465

MRS. JULIE MARIE WYLIE ANP-C

Nurse Practitioner (Adult Health)

708 S TIMBERLANE DR STE A
EL DORADO, AR 71730

Union County (870) 639-6465

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 Mobley Medical Clinic PLLC's NPI number?

The NPI number for Mobley Medical Clinic PLLC is 1871250555. It was assigned to this organization in the NPPES registry on November 17, 2021.

Where is Mobley Medical Clinic PLLC located?

Mobley Medical Clinic PLLC is located at 708 S Timberlane Dr Ste A, El Dorado, AR 71730. The listed phone number is (870) 639-6465.

What is Mobley Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Does Mobley Medical Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2241913) is associated with this NPI, valid through November 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mobley Medical Clinic PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Mobley Medical Clinic PLLC 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 Mobley Medical Clinic PLLC was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.