JENNIE ANDERSON APRN
NPI 1205250693
Nurse Practitioner - Psychiatric/Mental Health in Clinton, AR

Q: What is Jennie Anderson's NPI number?

The NPI number for Jennie Anderson is 1205250693. It was assigned to this individual provider in the NPPES registry on February 6, 2014.

Q: What is Jennie Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jennie Anderson was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 February 06, 2014PECOS EnrolledAccepts Medicare Assignment

2526 HIGHWAY 65 S STE 201, CLINTON, AR 72031(501) 745-8007(501) 745-8220 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2021, Apr 21, 2020, Mar 18, 2020 and 1 more (4 updates tracked since 2020).

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About Jennie Anderson Aprn NPPES

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

JENNIE ANDERSON APRN (NPI 1205250693) is an individual psychiatric/mental health provider in Clinton, Arkansas, licensed in Arkansas (A003977) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1205250693

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJENNIE ANDERSONCredential: APRN

Location Address2526 HIGHWAY 65 S STE 201Clinton, AR 72031-6678

Mailing Address2400 S 48th StSpringdale, AR 72762-6683 · (479) 750-2020 · Fax (479) 750-4843

Phone(501) 745-8007

Fax(501) 745-8220

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateFebruary 6, 2014

Last NPPES UpdateMay 28, 20214 updates tracked since enumeration

NPPES CertifiedMay 28, 2021

✔ NPI 1205250693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AR · A003977

2526 HIGHWAY 65 S STE 201, Clinton, AR 72031

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Other Identifiers 1

Medicaid204974758AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave 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

Jennie Anderson 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.

PECOS PAC ID5193705788

PECOS Enrollment IDI20140730000473

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 2

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.

176 services47 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

31 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72031 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 5

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

CONWAY REGIONAL MEDICAL CENTER, INC

Clinic/Center (Rural Health)