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JOSEPH KENT TETIRICK APN
NPI 1386983468
Nurse Practitioner - Acute Care in Fort Smith, AR

Active since February 08, 2013PECOS Enrolled
5808 CALLAWAY LN, FORT SMITH, AR 72916(423) 426-3918 Get Directions Write a Review

NPPES record last updated: February 8, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Joseph Kent Tetirick Apn NPPES

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

JOSEPH KENT TETIRICK APN (NPI 1386983468) is an individual acute care provider in Fort Smith, Arkansas, licensed in Arkansas (A003816) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386983468
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJOSEPH KENT TETIRICKCredential: APN
Location Address5808 CALLAWAY LNFort Smith, AR 72916-8437
Mailing Address132 Oak Grove RdVan Buren, AR 72956-8410 · (501) 772-0177
Phone(423) 426-3918
Sole ProprietorYes
Enumeration DateFebruary 8, 2013
✔ NPI 1386983468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AR · A003816
5808 CALLAWAY LN, Fort Smith, AR 72916
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph Kent Tetirick Apn 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 Reassignments

2

Medicare enrollment records show Joseph Tetirick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prime Physicians LLC
3.5 mi
General Practice
8300 CHAD COLLEY BLVD
Fort Smith, AR 72916
  • Reassigned Medicare billing, Arkansas enrollment
  • 44 clinicians in this Medicare group
NPI 1033454723 (479) 242-4455
Baptist Health Services
7.8 mi
Foot & Ankle Surgery
1500 DODSON AVE STE 260
Fort Smith, AR 72901
  • Reassigned Medicare billing, Arkansas enrollment
  • 193 clinicians in this Medicare group
NPI 1922587690 (479) 573-7905

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 72916 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
92%299 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Joseph Tetirick's NPI number?

The NPI number for Joseph Tetirick is 1386983468. It was assigned to this individual provider in the NPPES registry on February 8, 2013.

Where is Joseph Tetirick located?

Joseph Tetirick practices at 5808 Callaway Ln, Fort Smith, AR 72916. The listed phone number is (423) 426-3918.

What is Joseph Tetirick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Joseph Tetirick enrolled in Medicare?

Yes. Joseph Tetirick is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Joseph Tetirick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Tetirick reassigns Medicare benefits to 2 organizations: Prime Physicians LLC (Fort Smith, AR) and Baptist Health Services (Fort Smith, AR). Each 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 Joseph Tetirick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joseph Tetirick was last updated on February 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.