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JESSICA GREETAN
NPI 1720858863
Nurse Practitioner - Family in Bentonville, AR

Active since January 08, 2024PECOS Enrolled
901 SE PLAZA AVE STE 5, BENTONVILLE, AR 72712(479) 273-3376(479) 273-3468 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Jessica Greetan NPPES

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

JESSICA GREETAN (NPI 1720858863) is an individual family provider in Bentonville, Arkansas, licensed in Arkansas (237760) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720858863
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA GREETAN
Location Address901 SE PLAZA AVE STE 5Bentonville, AR 72712-5473
Mailing Address901 Se Plaza Ave Ste 5Bentonville, AR 72712-5473 · (479) 273-3376
Phone(479) 273-3376
Fax(479) 273-3468
Sole ProprietorNo
Enumeration DateJanuary 8, 2024
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1720858863 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 · 237760
901 SE PLAZA AVE STE 5, Bentonville, AR 72712
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Secondary Practice Locations 2

Location 15691 Gateway Ave, Suite DSpringdale, AR 72762 · Phone (479) 273-3376
Location 21702 SE 8th St Ste 10Bentonville, AR 72712-2891 · Phone (479) 273-3376

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Greetan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 72712 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 11

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

PREMIER DERMATOLOGY SERVICES PLLC
Dermatology
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
JENNY AMANDA SIMMONS M.S., PA-C
Physician Assistant
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
KARA JO RICHARDSON P.A.
Physician Assistant
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
MRS. SAVANNAH MAENSIVU ROSAMOND
Nurse Practitioner (Family)
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
CHERI CAROLINE CUNNINGHAM M.D
Dermatology
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
ALEXANDRA N HUETT PA
Physician Assistant
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
SHAZHOU LUO A.N.P
Nurse Practitioner
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
MR. LEE WALTER THOMAS PA-C
Physician Assistant
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376

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 Jessica Greetan's NPI number?

The NPI number for Jessica Greetan is 1720858863. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Where is Jessica Greetan located?

Jessica Greetan practices at 901 SE Plaza Ave Ste 5, Bentonville, AR 72712. The listed phone number is (479) 273-3376.

What is Jessica Greetan's specialty?

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

Is Jessica Greetan enrolled in Medicare?

Yes. Jessica Greetan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Greetan was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.