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JORDAN LILJENQUIST CRNA
NPI 1831772532
Nurse Anesthetist, Certified Registered in Jonesboro, AR

Active since April 30, 2021Accepts Medicare Assignment
4800 E JOHNSON AVE, JONESBORO, AR 72405(208) 312-2542 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2022, Apr 30, 2021 (2 updates tracked since 2021).

About Jordan Liljenquist Crna NPPES

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

JORDAN LILJENQUIST CRNA (NPI 1831772532) is an individual nurse anesthetist, certified registered in Jonesboro, Arkansas, licensed in Arkansas (136634) and active in the NPI registry since April 2021. He is affiliated with Parkland Health Center and is a graduate of Other (2021).

NPPES Registry Identity

NPI1831772532
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJORDAN LILJENQUISTCredential: CRNA
Location Address4800 E JOHNSON AVEJonesboro, AR 72405-8413
Mailing Address2720 Greensboro RdJonesboro, AR 72405-8398 · (208) 312-2542
Phone(208) 312-2542
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 30, 2021
Last NPPES UpdateApril 11, 20222 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
✔ NPI 1831772532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in AR · 136634
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
4800 E JOHNSON AVE, Jonesboro, AR 72405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Jordan Liljenquist Crna 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 ID8224431689
PECOS Enrollment IDI20240816000355

Medicare Billing Reassignments

5

Medicare enrollment records show Jordan Liljenquist reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifelinc Anesthesia V, P.A.
56 mi
Anesthesiology
2100 N 7TH ST
West Memphis, AR 72301
  • Reassigned Medicare billing, Arkansas enrollment
  • 81 clinicians in this Medicare group
NPI 1063907244 (901) 844-1590
Rural Health Pain Management LLC
58 mi
Pain Medicine
1601 NEW CASTLE RD
Forrest City, AR 72335
  • Reassigned Medicare billing, Missouri enrollment
  • 28 clinicians in this Medicare group
NPI 1265039556 (870) 261-0000
Midwest Anesthesia Providers S.C
202 mi
Anesthesiology
11133 DUNN RD
Saint Louis, MO 63136
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Midwest Anesthesia Providers Sc
  • 230 clinicians in this Medicare group
NPI 1295189082 (865) 293-5676
Youngs Professional Services LLC
409 mi
Nurse Anesthetist, Certified Registered
1100 ANDRE ST, SUITE 300
New Iberia, LA 70563
  • Reassigned Medicare billing, Arkansas enrollment
  • 232 clinicians in this Medicare group
NPI 1922178599 (337) 364-9225
North Canyon Medical Center, Inc.
1,369 mi
Rural Health
718 HWY 30
Buhl, ID 83316
  • Reassigned Medicare billing, Idaho enrollment
  • 180 clinicians in this Medicare group
NPI 1568950566 (208) 934-4433

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkland Health Center

Acute Care Hospitals · Farmington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260163
Location1101 W LibertyFarmington, MO 63640 · St. Francois County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72405 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
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.

DR. REFAYAT AHSEN MD
Internal Medicine
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (865) 684-0799
JARRYD A DEMPSEY PT
Physical Therapist
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-8000
DR. FAHAD KHAN DO
Student in an Organized Health Care Education/Training Program
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-1000
WILLIAM B ROTH DO
Hospitalist
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-1000
SAMUEL DAVID MARTIN DO
Student in an Organized Health Care Education/Training Program
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-1000
RANYA HAIDAR AL-KHAFAJI MD
Student in an Organized Health Care Education/Training Program
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-1000
KATIE JUSTINE CRISMAN CRNA
Nurse Anesthetist, Certified Registered
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-1000
MR. PHILLIP WAYNE STOKES JR. FNP-C
Nurse Practitioner (Family)
4800 E JOHNSON AVE
JONESBORO, AR 72405
Craighead County (870) 936-8000

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 Jordan Liljenquist's NPI number?

The NPI number for Jordan Liljenquist is 1831772532. It was assigned to this individual provider in the NPPES registry on April 30, 2021.

Where is Jordan Liljenquist located?

Jordan Liljenquist practices at 4800 E Johnson Ave, Jonesboro, AR 72405. The listed phone number is (208) 312-2542.

What is Jordan Liljenquist's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jordan Liljenquist enrolled in Medicare?

Yes. Jordan Liljenquist 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 Jordan Liljenquist's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Liljenquist reassigns Medicare benefits to 5 organizations: Lifelinc Anesthesia V, P.A. (West Memphis, AR), Rural Health Pain Management LLC (Forrest City, AR), Midwest Anesthesia Providers S.C (Saint Louis, MO), Youngs Professional Services LLC (New Iberia, LA) and North Canyon Medical Center, Inc. (Buhl, ID). 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 Jordan Liljenquist's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Liljenquist accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Jordan Liljenquist 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.

Is Jordan Liljenquist affiliated with any hospitals?

According to CMS data, Jordan Liljenquist is affiliated with Parkland Health Center.

When was this NPI record last updated?

The NPPES record for Jordan Liljenquist was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.