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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since January 21, 2026PECOS Enrolled
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: August 02, 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
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Michele Mortensen Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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
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
ANNE MARIE COPE PT, 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 enrollment system.

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 33 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.