JACKSON PAYNE
NPI 1194407379
Nurse Practitioner - Primary Care in Rogers, AR

Q: What is Jackson Payne's NPI number?

The NPI number for Jackson Payne is 1194407379. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Q: What is Jackson Payne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Payne was last updated on January 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 07, 2023PECOS EnrolledAccepts Medicare Assignment

2708 S RIFE MEDICAL LN STE 210, ROGERS, AR 72758(479) 338-3888 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 4, 2024, Aug 7, 2023 (2 updates tracked since 2023).

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About Jackson Payne NPPES

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

JACKSON PAYNE (NPI 1194407379) is an individual primary care provider in Rogers, Arkansas, licensed in Arkansas (226845) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194407379

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameJACKSON PAYNE

Location Address2708 S RIFE MEDICAL LN STE 210Rogers, AR 72758-1456

Mailing AddressPo Box 776084Chicago, IL 60677-6084 · (314) 364-4200 · Fax (314) 364-6321

Phone(479) 338-3888

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 7, 2023

Last NPPES UpdateJanuary 19, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2024

✔ NPI 1194407379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP2300X

License✔ Licensed in AR · 226845

2708 S RIFE MEDICAL LN STE 210, Rogers, AR 72758

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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 Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jackson Payne 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 ID2668825357

PECOS Enrollment IDI20240130000475

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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

154 services132 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

40 services40 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72758 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.

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Other Providers at the Same Location NPPES 8

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

DR. JAMES CREED SPANN M.D.

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