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JACLYN MICHELE MORTENSEN APRN
NPI 1679432926
Nurse Practitioner - Acute Care in Springdale, AR

Active since January 21, 2026PECOS EnrolledAccepts Medicare Assignment
3901 PARKWAY CIR, SPRINGDALE, AR 72762(479) 587-1700(479) 587-1366 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 6, 2026, Mar 13, 2026, Jan 21, 2026 (3 updates tracked since 2026).

About Jaclyn Michele Mortensen Aprn NPPES

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

JACLYN MICHELE MORTENSEN APRN (NPI 1679432926) is an individual acute care provider in Springdale, Arkansas, licensed in Arkansas (124837) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1679432926
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJACLYN MICHELE MORTENSENCredential: APRN
Location Address3901 PARKWAY CIRSpringdale, AR 72762-6362
Mailing Address3901 Parkway CirSpringdale, AR 72762-6362 · (479) 587-1700 · Fax (479) 587-1366
Phone(479) 587-1700
Fax(479) 587-1366
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 21, 2026
Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1679432926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AR · 124837
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 124837 (AR)
3901 PARKWAY CIR, Springdale, AR 72762
Open in Google Maps ↗

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 and accepts Medicare assignment

Jaclyn Michele Mortensen Aprn 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 ID7113409400
PECOS Enrollment IDI20260305001732
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 Jaclyn Mortensen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Highlands Oncology Group PA
Same address
Physical Therapist
3901 PARKWAY CIR
Springdale, AR 72762
  • Reassigned Medicare billing, Arkansas enrollment
  • 86 clinicians in this Medicare group
NPI 1003734229 (479) 587-1700
University Of Arkansas For Medical Sciences
3.1 mi
Psychiatry
3425 N FUTRALL DR STE 103
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
  • 2,038 clinicians in this Medicare group
NPI 1720217599 (479) 713-8350

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 72762 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.

HIGHLANDS ONCOLOGY GROUP PA
Physical Therapist
3901 PARKWAY CIR
SPRINGDALE, AR 72762
Washington County (479) 587-1700
DAWN H JONES M.D.
Surgery (Surgical Oncology)
3901 PARKWAY CIR
SPRINGDALE, AR 72762
Washington County (479) 587-1700
SUSAN L EZELL APRN
Nurse Practitioner (Acute Care)
3901 PARKWAY CIR
SPRINGDALE, AR 72762
Washington County (479) 587-1700
RITA MARIE DRAGGS APRN
Nurse Practitioner (Acute Care)
3901 PARKWAY CIR
SPRINGDALE, AR 72762
Washington County (479) 587-1700
DANA JUNE ABBOTT APRN
Nurse Practitioner (Acute Care)
3901 PARKWAY CIR
SPRINGDALE, AR 72762
Washington County (479) 587-1700
MIKAILA NOEL CALCAGNI MD
Internal Medicine
3901 PARKWAY CIR
SPRINGDALE, AR 72762
Washington County (479) 587-1700
KATARZYNA KANIA-MARTINEZ MD
Surgery (Plastic and Reconstructive Surgery)
3901 PARKWAY CIR
SPRINGDALE, AR 72762
Washington County (479) 322-4244
NADIA F MARCONI PT, PHD, DPT
Physical Therapist
3901 PARKWAY CIR
SPRINGDALE, AR 72762
Washington County (479) 587-1700

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 Jaclyn Mortensen's NPI number?

The NPI number for Jaclyn Mortensen is 1679432926. It was assigned to this individual provider in the NPPES registry on January 21, 2026.

Where is Jaclyn Mortensen located?

Jaclyn Mortensen practices at 3901 Parkway Cir, Springdale, AR 72762. The listed phone number is (479) 587-1700.

What is Jaclyn Mortensen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jaclyn Mortensen enrolled in Medicare?

Yes. Jaclyn Mortensen 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 Jaclyn Mortensen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Mortensen reassigns Medicare benefits to 2 organizations: Highlands Oncology Group PA (Springdale, AR) and University Of Arkansas For Medical Sciences (Fayetteville, 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 Jaclyn Mortensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaclyn Mortensen 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 1 other insurer list Jaclyn Mortensen 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 Jaclyn Mortensen was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.