Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACQUELYN MARCHELLE WILKERSON
NPI 1487589149
Nurse Practitioner - Family 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 added: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 23, 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 family provider in Newport, Arkansas, licensed in Arkansas (238312) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1487589149
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELYN MARCHELLE WILKERSON
Location Address1702 MALCOLM AVENewport, AR 72112-3624
Mailing Address4196 Highway 62 412 Ste AHardy, AR 72542-8002
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 15, 2026
Last NPPES UpdateAugust 3, 2026
NPPES CertifiedAugust 3, 2026
NPI 1487589149 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 · 238312
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).

PECOS PAC ID4981168663
PECOS Enrollment IDI20260714001972
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, specializing in Family, with taxonomy code 363LF0000X.

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 August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.