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JERRICA LACEY LUSTER APRN-PMHNP
NPI 1013595420
Nurse Practitioner - Psychiatric/Mental Health in Bryant, AR

Active since March 30, 2021PECOS Enrolled
6023 HARDIN DR, BRYANT, AR 72022(501) 794-7897 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 26, 2022, Mar 30, 2021 (2 updates tracked since 2021).

About Jerrica Lacey Luster Aprn-pmhnp NPPES

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

JERRICA LACEY LUSTER APRN-PMHNP (NPI 1013595420) is an individual psychiatric/mental health provider in Bryant, Arkansas, licensed in Arkansas (214728) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013595420
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJERRICA LACEY LUSTERCredential: APRN-PMHNP
Location Address6023 HARDIN DRBryant, AR 72022-7528
Mailing Address6023 Hardin DrBryant, AR 72022-7528 · (501) 794-7897
Phone(501) 794-7897
Sole ProprietorNo
Enumeration DateMarch 30, 2021
Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1013595420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AR · 214728
6023 HARDIN DR, Bryant, AR 72022
Open in Google Maps ↗

Other Names 1

Former Name (1)Jerrica Ballance

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerrica Lacey Luster Aprn-pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jerrica Luster reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

10th District Substance Abuse Treatment Center
42 mi
Mental Health (Including Community Mental Health Center)
2300 W 29TH AVE STE 1
Pine Bluff, AR 71603
  • Reassigned Medicare billing, Arkansas enrollment
  • 10 clinicians in this Medicare group
NPI 1679360820 (844) 220-9970

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 72022 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

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

RESTORATIVE MINDS CLINIC
Nurse Practitioner (Psychiatric/Mental Health)
6023 HARDIN DR
BRYANT, AR 72022
Saline County (501) 794-7897

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 Jerrica Luster's NPI number?

The NPI number for Jerrica Luster is 1013595420. It was assigned to this individual provider in the NPPES registry on March 30, 2021. The provider is also known as Jerrica Ballance.

Where is Jerrica Luster located?

Jerrica Luster practices at 6023 Hardin Dr, Bryant, AR 72022. The listed phone number is (501) 794-7897.

What is Jerrica Luster's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jerrica Luster enrolled in Medicare?

Yes. Jerrica Luster is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jerrica Luster's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerrica Luster reassigns Medicare benefits to 10th District Substance Abuse Treatment Center (Pine Bluff, AR). The 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 Jerrica Luster's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerrica Luster accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Jerrica Luster 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 Jerrica Luster was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.