JOURDAN QUINN APRN
NPI 1174910210
Nurse Practitioner - Family in Little Rock, AR
About Jourdan Quinn Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOURDAN QUINN APRN (NPI 1174910210) is an individual family provider in Little Rock, Arkansas, licensed in Arkansas (A005913) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Little Rock, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Jourdan Quinn Aprn 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 Reassignment
Medicare enrollment records show Jourdan Quinn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Little Rock, AR 72227
- Reassigned Medicare billing, Arkansas enrollment
- 2 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
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 72212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jourdan Quinn's NPI number?
The NPI number for Jourdan Quinn is 1174910210. It was assigned to this individual provider in the NPPES registry on April 15, 2015.
Where is Jourdan Quinn located?
Jourdan Quinn practices at 11300 Cantrell Rd Ste 204, Little Rock, AR 72212. The listed phone number is (501) 228-7662.
What is Jourdan Quinn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jourdan Quinn enrolled in Medicare?
Yes. Jourdan Quinn 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 Jourdan Quinn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jourdan Quinn reassigns Medicare benefits to Revive Health And Wellness Of Arkansas, PLLC (Little Rock, 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 Jourdan Quinn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jourdan Quinn accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Jourdan Quinn 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 Jourdan Quinn was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jourdan Quinn, APRN · NPI 1174910210
Family physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since April 15, 2015.
## Identity
- **NPI:** 1174910210 (Entity type: Individual)
- **Enumerated:** April 15, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** A005913 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 11300 CANTRELL RD STE 204, Little Rock, AR 72212
- **Phone:** (501) 228-7662
## 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:** Revive Health And Wellness Of Arkansas, PLLC (NPI 1548935646, Little Rock, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 1, 2023
- **Other identifiers:** Medicaid 1174910210 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1174910210) · Data from the CMS NPPES public registry.