JARLISA MICKEY RN, A-GPCNP-C
NPI 1093433641
Nurse Practitioner - Gerontology in Columbia, MD

Q: What is Jarlisa Mickey's NPI number?

The NPI number for Jarlisa Mickey is 1093433641. It was assigned to this individual provider in the NPPES registry on August 19, 2022.

Q: What is Jarlisa Mickey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Jarlisa Mickey was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 19, 2022PECOS Enrolled

10175 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044(501) 553-1153 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jarlisa Mickey Rn, A-gpcnp-c NPPES

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

JARLISA MICKEY RN, A-GPCNP-C (NPI 1093433641) is an individual gerontology provider in Columbia, Maryland, licensed in Arkansas (220528) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093433641

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameJARLISA MICKEYCredential: RN, A-GPCNP-C

Location Address10175 LITTLE PATUXENT PKWYColumbia, MD 21044-2655

Mailing Address10175 Little Patuxent PkwyColumbia, MD 21044-2655

Phone(501) 553-1153

Sole ProprietorYes

Enumeration DateAugust 19, 2022

Last NPPES UpdateAugust 26, 2024

NPPES CertifiedAugust 26, 2024

✔ NPI 1093433641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in AR · 220528

10175 LITTLE PATUXENT PKWY, Columbia, MD 21044

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jarlisa Mickey Rn, A-gpcnp-c 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 Jarlisa Mickey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Curana Health Of Arkansas LLC

969 mi

Nurse Practitioner

609 SW 8TH ST
Bentonville, AR 72712

Reassigned Medicare billing, Arkansas enrollment
60 clinicians in this Medicare group

NPI 1659750214 (337) 991-9276

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 3

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

61 services32 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

56 services34 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21044 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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 20

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

JENNIFER JOY HRYNKO MSN, CRNP, RN

Nurse Practitioner (Adult Health)