JAYDON MCKINNAH PETERSON APRN
NPI 1194594788
Nurse Practitioner - Critical Care Medicine in Hot Springs, AR

Q: What is Jaydon Peterson's NPI number?

The NPI number for Jaydon Peterson is 1194594788. It was assigned to this individual provider in the NPPES registry on December 25, 2023.

Q: What is Jaydon Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Q: When was this NPI record last updated?

The NPPES record for Jaydon Peterson was last updated on January 25, 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 December 25, 2023PECOS Enrolled

1 MERCY LN STE 401, HOT SPRINGS, AR 71913(501) 623-5220 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jaydon Mckinnah Peterson Aprn NPPES

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

JAYDON MCKINNAH PETERSON APRN (NPI 1194594788) is an individual critical care medicine provider in Hot Springs, Arkansas, licensed in Arkansas (226537) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194594788

Entity TypeIndividualFemale

Primary Taxonomy363LC0200X

Provider Legal NameJAYDON MCKINNAH PETERSONCredential: APRN

Location Address1 MERCY LN STE 401Hot Springs, AR 71913-6441

Mailing Address1 Mercy Ln Ste 401Hot Springs, AR 71913-6441 · (501) 623-5220

Phone(501) 623-5220

Sole ProprietorNo

Enumeration DateDecember 25, 2023

Last NPPES UpdateJanuary 25, 2024

NPPES CertifiedJanuary 22, 2024

✔ NPI 1194594788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC0200X

License✔ Licensed in AR · 226537

1 MERCY LN STE 401, Hot Springs, AR 71913

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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)

Jaydon Mckinnah Peterson Aprn 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 Jaydon Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chi St. Vincent Medical Group Hot Springs

4.2 mi

Specialist

1 MERCY LN, SUITE 201
Hot Springs, AR 71913

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

NPI 1831387117 (501) 609-2229

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 71913 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.

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.

ARINZE ANYABOLU MBBS

Internal Medicine (Pulmonary Disease)