JACQUELYN MARCHELLE WILKERSON
NPI 1487589149
Nurse Practitioner in Newport, AR

Active since June 15, 2026PECOS Enrolled
1702 MALCOLM AVE, NEWPORT, AR 72112(870) 495-7001 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacquelyn Marchelle Wilkerson NPPES

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

JACQUELYN MARCHELLE WILKERSON (NPI 1487589149) is an individual nurse practitioner in Newport, Arkansas, licensed in Arkansas (238312) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487589149
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACQUELYN MARCHELLE WILKERSON
Location Address1702 MALCOLM AVENewport, AR 72112-3624
Mailing Address4196 Highway 62 412 Ste AHardy, AR 72542-8002
Sole ProprietorNo
Enumeration DateJune 15, 2026
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
NPI 1487589149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in AR · 238312
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1702 MALCOLM AVE, Newport, AR 72112

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacquelyn Marchelle Wilkerson 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 72112 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 2

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

Nurse Practitioner (Family)
1702 MALCOLM AVE
NEWPORT, AR 72112
Clinic/Center (Rural Health)
1702 MALCOLM AVE
NEWPORT, AR 72112

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 Jacquelyn Wilkerson's NPI number?

The NPI number for Jacquelyn Wilkerson is 1487589149. It was assigned to this individual provider in the NPPES registry on June 15, 2026.

Where is Jacquelyn Wilkerson located?

Jacquelyn Wilkerson practices at 1702 Malcolm Ave, Newport, AR 72112. The listed phone number is (870) 495-7001.

What is Jacquelyn Wilkerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jacquelyn Wilkerson enrolled in Medicare?

Yes. Jacquelyn Wilkerson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacquelyn Wilkerson was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.