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DR. KAITLIN BROOKE JORDAL DNP, CRNA
NPI 1144985235
Nurse Anesthetist, Certified Registered in Bentonville, AR

Active since November 03, 2021Accepts Medicare Assignment
3000 MEDICAL CENTER PKWY, BENTONVILLE, AR 72712(479) 553-1000 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 16, 2021, Nov 3, 2021 (2 updates tracked since 2021).

About Dr. Kaitlin Brooke Jordal Dnp, Crna NPPES

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

DR. KAITLIN BROOKE JORDAL DNP, CRNA (NPI 1144985235) is an individual nurse anesthetist, certified registered in Bentonville, Arkansas, licensed in Arkansas (217991) and active in the NPI registry since November 2021. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1144985235
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameDR. KAITLIN BROOKE JORDALCredential: DNP, CRNA
Location Address3000 MEDICAL CENTER PKWYBentonville, AR 72712-3217
Mailing Address601 W Maple Ave Ste 503Springdale, AR 72764-5376 · (479) 751-3722 · Fax (479) 751-1099
Phone(479) 553-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 3, 2021
Last NPPES UpdateNovember 16, 20212 updates tracked since enumeration
NPPES CertifiedNovember 16, 2021
✔ NPI 1144985235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in AR · 217991
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License R094218 (AR)
3000 MEDICAL CENTER PKWY, Bentonville, AR 72712
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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

Dr. Kaitlin Brooke Jordal Dnp, Crna 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.

PECOS PAC ID5294124897
PECOS Enrollment IDI20211122000881

Medicare Billing Reassignment

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

Youngs Professional Services LLC
458 mi
Nurse Anesthetist, Certified Registered
1100 ANDRE ST, SUITE 300
New Iberia, LA 70563
  • Reassigned Medicare billing, Arkansas enrollment
  • 232 clinicians in this Medicare group
NPI 1922178599 (337) 364-9225

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 72712 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
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.

BENTONVILLE RADIOLOGY CONSULTANTS, PLLC
Radiology (Diagnostic Radiology)
3000 MEDICAL CENTER PKWY
BENTONVILLE, AR 72712
Benton County (479) 553-1000
BRIAN A TESSARO D.O.
Emergency Medicine
3000 MEDICAL CENTER PKWY
BENTONVILLE, AR 72712
Benton County (479) 553-1000
HALLIE ELIZABETH ENGLAND APRN-CNP
Nurse Practitioner (Family)
3000 MEDICAL CENTER PKWY
BENTONVILLE, AR 72712
Benton County (479) 553-1000
DR. KATHERINE D BARTON MD
Emergency Medicine
3000 MEDICAL CENTER PKWY
BENTONVILLE, AR 72712
Benton County (479) 553-1010
MRS. JESSICA MARIE BRANDON CRNA
Nurse Anesthetist, Certified Registered
3000 MEDICAL CENTER PKWY
BENTONVILLE, AR 72712
Benton County (479) 553-1000
JORDAN ELIZABETH BURGESS RDN, LD
Dietitian, Registered
3000 MEDICAL CENTER PKWY
BENTONVILLE, AR 72712
Benton County (479) 553-1000
JOEL S JONES DO
Family Medicine
3000 MEDICAL CENTER PKWY
BENTONVILLE, AR 72712
Benton County (479) 553-1010
BETHEL BURRIS OLIVER PLLC
Dentist (Oral and Maxillofacial Surgery)
3000 MEDICAL CENTER PKWY
BENTONVILLE, AR 72712
Benton County (479) 445-6335

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 Kaitlin Jordal's NPI number?

The NPI number for Kaitlin Jordal is 1144985235. It was assigned to this individual provider in the NPPES registry on November 3, 2021.

Where is Kaitlin Jordal located?

Kaitlin Jordal practices at 3000 Medical Center Pkwy, Bentonville, AR 72712. The listed phone number is (479) 553-1000.

What is Kaitlin Jordal's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kaitlin Jordal enrolled in Medicare?

Yes. Kaitlin Jordal 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 organization bills Medicare for Kaitlin Jordal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlin Jordal reassigns Medicare benefits to Youngs Professional Services LLC (New Iberia, LA). 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 Kaitlin Jordal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kaitlin Jordal was last updated on November 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.