JACK LESLIE LOCK APRN FNP-BC
NPI 1265917611
Nurse Practitioner - Family in Dumas, AR

Q: What is Jack Lock's NPI number?

The NPI number for Jack Lock is 1265917611. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Q: What is Jack Lock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Lock was last updated on October 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 October 02, 2018PECOS Enrolled

811 HIGHWAY 65 S, DUMAS, AR 71639(870) 456-3570 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 18, 2018, Oct 2, 2018 (2 updates tracked since 2018).

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About Jack Leslie Lock Aprn Fnp-bc NPPES

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

JACK LESLIE LOCK APRN FNP-BC (NPI 1265917611) is an individual family provider in Dumas, Arkansas, licensed in Arkansas (A005934) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265917611

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJACK LESLIE LOCKCredential: APRN FNP-BC

Location Address811 HIGHWAY 65 SDumas, AR 71639-3006

Mailing AddressPo Box 95De Witt, AR 72042-0095

Phone(870) 456-3570

Sole ProprietorNo

Enumeration DateOctober 2, 2018

Last NPPES UpdateOctober 18, 20182 updates tracked since enumeration

✔ NPI 1265917611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in AR · A005934

811 HIGHWAY 65 S, Dumas, AR 71639

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Leslie Lock Aprn Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71639 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 19

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

CHRISTINE FREEMAN LPN

Licensed Practical Nurse