JENNIFER REBECCA TETIRICK
NPI 1093193823
Nurse Practitioner - Adult Health in Fort Smith, AR
About Jennifer Rebecca Tetirick NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER REBECCA TETIRICK (NPI 1093193823) is an individual adult health provider in Fort Smith, Arkansas, licensed in Arkansas (A004399) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jennifer Rebecca Tetirick is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
7Medicare enrollment records show Jennifer Tetirick reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Smith, AR 72901
- Reassigned Medicare billing, Arkansas enrollment
- 193 clinicians in this Medicare group
Fort Smith, AR 72916
- Reassigned Medicare billing, Arkansas enrollment
- 44 clinicians in this Medicare group
Cedarville, AR 72932
- Reassigned Medicare billing, Arkansas enrollment
- 150 clinicians in this Medicare group
Dardanelle, AR 72834
- Reassigned Medicare billing, Arkansas enrollment
- 82 clinicians in this Medicare group
Perryville, AR 72126
- Reassigned Medicare billing, Arkansas enrollment
- 117 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Delaware and Oklahoma enrollments
- 78 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Arkansas and Iowa enrollments
- 354 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT SMITH, AR 72901
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 Jennifer Tetirick's NPI number?
The NPI number for Jennifer Tetirick is 1093193823. It was assigned to this individual provider in the NPPES registry on May 13, 2015.
Where is Jennifer Tetirick located?
Jennifer Tetirick practices at 1001 Towson Ave, Fort Smith, AR 72901. The listed phone number is (479) 441-4000.
What is Jennifer Tetirick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Jennifer Tetirick enrolled in Medicare?
Yes. Jennifer Tetirick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jennifer Tetirick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Tetirick reassigns Medicare benefits to 7 organizations: Baptist Health Services (Fort Smith, AR), Prime Physicians LLC (Fort Smith, AR), Access Medical Clinic Arkansas LLC (Cedarville, AR), Bradley Bibb, MD PLLC (Dardanelle, AR), Access Medical Clinic Arkansas Ltc LLC (Perryville, AR) and 2 more organizations, listed in the Medicare section above. Each 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 Jennifer Tetirick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Tetirick accept?
Health plans from CareSource (Common Ground Healthcare) list Jennifer Tetirick 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 Jennifer Tetirick was last updated on May 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Jennifer Rebecca Tetirick · NPI 1093193823
Adult Health physician in Fort Smith, Arkansas. Individual provider, active in the CMS NPPES registry since May 13, 2015.
## Identity
- **NPI:** 1093193823 (Entity type: Individual)
- **Enumerated:** May 13, 2015
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** A004399 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 TOWSON AVE, Fort Smith, AR 72901-4921
- **Phone:** (479) 441-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Baptist Health Services (NPI 1750856043, Fort Smith, AR); Prime Physicians LLC (NPI 1033454723, Fort Smith, AR); Access Medical Clinic Arkansas LLC (NPI 1164913984, Cedarville, AR); Bradley Bibb, MD PLLC (NPI 1568904480, Dardanelle, AR); Access Medical Clinic Arkansas Ltc LLC (NPI 1124539648, Perryville, AR); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** May 13, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1093193823) · Data from the CMS NPPES public registry.