JESSE WAYNE FORD APRN
NPI 1770786204
Nurse Practitioner - Neonatal, Critical Care in Rogers, AR

Q: What is Jesse Ford's NPI number?

The NPI number for Jesse Ford is 1770786204. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Q: What is Jesse Ford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Ford was last updated on September 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since June 11, 2007PECOS Enrolled

2710 S RIFE MEDICAL LN, ROGERS, AR 72758(479) 338-3331 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jesse Wayne Ford Aprn NPPES

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

JESSE WAYNE FORD APRN (NPI 1770786204) is an individual neonatal, critical care provider in Rogers, Arkansas, licensed in Arkansas (A001899) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770786204

Entity TypeIndividualMale

Primary Taxonomy363LN0005X

Provider Legal NameJESSE WAYNE FORDCredential: APRN

Location Address2710 S RIFE MEDICAL LNRogers, AR 72758-1452

Mailing Address2710 S Rife Medical LnRogers, AR 72758-1452 · (479) 338-3331

Phone(479) 338-3331

Sole ProprietorNo

Enumeration DateJune 11, 2007

Last NPPES UpdateSeptember 12, 2018

✔ NPI 1770786204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0005X

License✔ Licensed in AR · A001899

2710 S RIFE MEDICAL LN, Rogers, AR 72758

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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)

Jesse Wayne Ford Aprn 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 72758 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.

ALYSSA MICHELLE ADAIR DNAP, CRNA

Nurse Anesthetist, Certified Registered