LAUREN JACKSON (APRN) – Family Medicine Physician, NPI 1114650322

LAUREN JACKSON (APRN) is a healthcare provider. based in Hattieville, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 221070 (AR). The NPI Number for LAUREN JACKSON (APRN) is 1114650322

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN JACKSON (APRN)
NPI
1114650322
Phone
Not provided
Address
38 MARTY LN
Enumeration Date
5 July 2022
Last Update Date
30 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4792946085
Graduation Year
2022 (4 years ago)
PAC ID
2567848567
Group Practice PAC ID
5890077093
Professional Enrollment ID
I20220928002033
Address ID
AR727742813WE451XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for LAUREN JACKSON (APRN)

  • 38 MARTY LN

    HATTIEVILLE, AR 720638930

    Phone:

    Type: Mailing

  • 555 COUNTRY ACRES RD

    ATKINS, AR 728238400

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220928002033INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6335$0
96372Injection of drug or substance under skin or into muscle2213$0
99213Established patient office or other outpatient visit, 20-29 minutes2115$0
View full utilization report →

Insurance plans in this area (ZIP 72063)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890077093View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerOK
Family Practice, Geriatric MedicineAR
-AR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
-AR

Reviews

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Frequently asked questions

What federal number belongs to LAUREN JACKSON (APRN)?
The federal identifier for LAUREN JACKSON (APRN) is NPI 1114650322.
Does this profile mean LAUREN JACKSON (APRN) is currently active?
Yes — LAUREN JACKSON (APRN) appears active in the national provider directory.
Does LAUREN JACKSON (APRN) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for LAUREN JACKSON (APRN). Clinical services aligned with this taxonomy classification.
Where does public data place LAUREN JACKSON (APRN)?
The snapshot lists Hattieville, Arkansas for LAUREN JACKSON (APRN); download NPPES for the complete set.
Is LAUREN JACKSON (APRN) a real provider?
This page reflects official NPPES data for NPI 1114650322. Always confirm identity and privileges with the practice and licensing boards.

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