ALICIA K JAGODZINSKI DNP, APRN, FNP-C
NPI 1629966965
Nurse Practitioner - Family in Little Rock, AR

Q: What is Alicia Jagodzinski's NPI number?

The NPI number for Alicia Jagodzinski is 1629966965. It was assigned to this individual provider in the NPPES registry on June 25, 2025.

Q: What is Alicia Jagodzinski's specialty?

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

Active since June 25, 2025PECOS EnrolledAccepts Medicare Assignment

6 SHACKLEFORD DR, LITTLE ROCK, AR 72211(500) 501-5001 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2026, Jun 25, 2025 (2 updates tracked since 2025).

On this page

About Alicia K Jagodzinski Dnp, Aprn, Fnp-c NPPES

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

ALICIA K JAGODZINSKI DNP, APRN, FNP-C (NPI 1629966965) is an individual family provider in Little Rock, Arkansas, licensed in Arkansas (120993) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1629966965

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALICIA K JAGODZINSKICredential: DNP, APRN, FNP-C

Location Address6 SHACKLEFORD DRLittle Rock, AR 72211-2858

Mailing AddressPo Box 497Augusta, AR 72006-0497 · (870) 347-2534

Phone(500) 501-5001

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 25, 2025

Last NPPES UpdateJanuary 23, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2026

✔ NPI 1629966965 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 · 120993

6 SHACKLEFORD DR, Little Rock, AR 72211

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alicia K Jagodzinski Dnp, Aprn, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244746808

PECOS Enrollment IDI20250721002607

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 72211 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 7

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

MRS. ALEX ELAINE MATLOCK APRN

Nurse Practitioner