JESSICA CUNNINGHAM M.D.
NPI 1417362369
Pediatrics in Little Rock, AR

Q: What is Jessica Cunningham's NPI number?

The NPI number for Jessica Cunningham is 1417362369. It was assigned to this individual provider in the NPPES registry on June 29, 2014.

Q: What is Jessica Cunningham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since June 29, 2014PECOS Enrolled

1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202(501) 364-1100(501) 364-4082 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2020, Sep 11, 2017 (2 updates tracked since 2017).

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About Jessica Cunningham M.d. NPPES

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

JESSICA CUNNINGHAM M.D. (NPI 1417362369) is an individual pediatrics provider in Little Rock, Arkansas, licensed in Arkansas (E-13374) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1417362369

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJESSICA CUNNINGHAMCredential: M.D.

Location Address1 CHILDRENS WAY # 653Little Rock, AR 72202-3500

Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082

Phone(501) 364-1100

Fax(501) 364-4082

Sole ProprietorNo

Enumeration DateJune 29, 2014

Last NPPES UpdateJuly 29, 20202 updates tracked since enumeration

NPPES CertifiedJuly 29, 2020

✔ NPI 1417362369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in AR · E-13374✔ Licensed in OH · 35-131786

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1 CHILDRENS WAY # 653, Little Rock, AR 72202

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Secondary Practice Location 1

Location 1700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-4950

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)

Jessica Cunningham M.d. 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

Medicare enrollment records show Jessica Cunningham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arkansas Childrens Professional Services Organization LLC

Same address

Pediatrics

1 CHILDRENS WAY
Little Rock, AR 72202

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

NPI 1629889464 (501) 364-2526

University Of Arkansas For Medical Sciences

0.1 mi

Psychologist

1 CHILDRENS WAY # 653
Little Rock, AR 72202

Reassigned Medicare billing, Arkansas enrollment
1,246 clinicians in this Medicare group

NPI 1114255353 (501) 364-1100

Arkansas Childrens Hospital

3.4 mi

Pediatrics

1 CHILDRENS WAY # 664
Little Rock, AR 72202

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

NPI 1598773079 (501) 364-2526

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 72202 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 20

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

ADRIENNE MARIE KODER

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