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

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: October 25, 2026.

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

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

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

1.6 mi
Federally Qualified Health Center (FQHC)
8924 KANIS RD
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 266 clinicians in this Medicare group
Specialist
117 S 2ND ST
Augusta, AR 72006
  • Reassigned Medicare billing, Arkansas enrollment
  • 18 clinicians in this Medicare group

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 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.

Nurse Practitioner
6 SHACKLEFORD DR
LITTLE ROCK, AR 72211
Physician Assistant
6 SHACKLEFORD DR
LITTLE ROCK, AR 72211
Internal Medicine (Rheumatology)
6 SHACKLEFORD DR
LITTLE ROCK, AR 72211
Nurse Practitioner (Family)
6 SHACKLEFORD DR
LITTLE ROCK, AR 72211
Internal Medicine (Rheumatology)
6 SHACKLEFORD DR
LITTLE ROCK, AR 72211
Clinic/Center (Federally Qualified Health Center (FQHC))
6 SHACKLEFORD DR
LITTLE ROCK, AR 72211
Internal Medicine (Rheumatology)
6 SHACKLEFORD DR
LITTLE ROCK, AR 72211

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 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.

Where is Alicia Jagodzinski located?

Alicia Jagodzinski practices at 6 Shackleford Dr, Little Rock, AR 72211. The listed phone number is (500) 501-5001.

What is Alicia Jagodzinski's specialty?

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

Is Alicia Jagodzinski enrolled in Medicare?

Yes. Alicia Jagodzinski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alicia Jagodzinski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Jagodzinski reassigns Medicare benefits to 2 organizations: Arcare (Little Rock, AR) and Trublu, LLC (Augusta, 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 Alicia Jagodzinski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alicia Jagodzinski accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Alicia Jagodzinski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alicia Jagodzinski was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.