JENNIE ANDERSON (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1205250693
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for JENNIE ANDERSON (APRN)
2400 S 48TH ST
SPRINGDALE, AR 727626683
Phone: (479) 750-2020
Fax: (479) 750-4843
Type: Mailing
2526 HIGHWAY 65 S STE 201
CLINTON, AR 720316678
Phone: (501) 745-8007
Fax: (501) 745-8220
Type: Location
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: 2014-07-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140730000473 | I | Nurse Practitioner | AR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 226 | 69 | $0 |
| Q3014 | Telehealth originating site facility fee | 144 | 55 | $0 |
Insurance plans in this area (ZIP 72762)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | AR | |
| Nurse Practitioner | IN | |
| Clinical Social Worker | AR | |
| Clinical Social Worker | AR | |
| - | AR | |
| - | AR | |
| Mental Health Counselor | AR | |
| Mental Health Counselor | AR | |
| P S Y C H I A T R Y | AR | |
| - | AR |
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