JILL KIRSTEN MAURER (AGACNP-BC) – Critical Care Medicine Nurse Practitioner, NPI 1154898005

JILL KIRSTEN MAURER (AGACNP-BC) is a healthcare provider. based in Greenwood, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. A005947 (AR). The NPI Number for JILL KIRSTEN MAURER (AGACNP-BC) is 1154898005

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JILL KIRSTEN MAURER (AGACNP-BC)
NPI
1154898005
Phone
(479) 221-4968
Address
1028 N CAMELIA ST
Enumeration Date
30 October 2018
Last Update Date
7 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2127346621
Graduation Year
2018 (8 years ago)
PAC ID
7911243696
Group Practice PAC ID
0042501116
Professional Enrollment ID
I20231211000416
Address ID
NJ080371875HA43XXXPIKE500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

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Provider Addresses for JILL KIRSTEN MAURER (AGACNP-BC)

  • 1028, North Camelia, Greenwood, Sebastian County, Arkansas, 72936, United States

    GREENWOOD, AR 729363237

    Phone: (479) 221-4968

    Type: Location

  • 2420, Rogers Avenue, Fort Smith, Sebastian County, Arkansas, 72901, United States

    STE A

    FORT SMITH, AR 729014133

    Phone: (479) 221-4968

    Type: Mailing

  • 65 JAMES ST

    EDISON, NJ 088203947

    Phone: (732) 321-7000

    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: 2023-12-11

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
I20231211000416INurse PractitionerNJTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72936)

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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: 0042501116View full group profile
NameSpecialtyState
-GA
Nurse PractitionerNY
P O D I A T R YNY
P O D I A T R YNY
Nurse PractitionerNY
-NY
Nurse PractitionerNY
Nurse PractitionerMA
Nurse PractitionerNY
Nurse PractitionerFL

Reviews

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Frequently asked questions

How is JILL KIRSTEN MAURER (AGACNP-BC) identified in CMS data?
CMS-hosted NPPES data lists JILL KIRSTEN MAURER (AGACNP-BC) with NPI 1154898005.
Is JILL KIRSTEN MAURER (AGACNP-BC) listed as active for patients and plans?
The listing shows JILL KIRSTEN MAURER (AGACNP-BC) as active in the NPI system.
What is JILL KIRSTEN MAURER (AGACNP-BC)'s primary classification?
Critical Care Medicine Nurse Practitioner is the headline specialty for JILL KIRSTEN MAURER (AGACNP-BC) here. Clinical services aligned with this taxonomy classification.
What address line appears for JILL KIRSTEN MAURER (AGACNP-BC)?
JILL KIRSTEN MAURER (AGACNP-BC)'s geographic hint is Greenwood, Arkansas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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