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: July 19, 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 Poplar Bluff Regional Medical 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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 2

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

Poplar Bluff Regional Medical Center

Acute Care Hospitals · Poplar Bluff, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260119
Location3100 Oak Grove RoadPoplar Bluff, MO 63901 · Butler County
Emergency services Birthing friendly

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.

Physical Therapist
4800 E JOHNSON AVE
JONESBORO, AR 72405
Clinical Nurse Specialist (Adult Health)
4800 E JOHNSON AVE
JONESBORO, AR 72405
Nurse Practitioner (Family)
4800 E JOHNSON AVE
JONESBORO, AR 72405
Specialist/Technologist, Other (Surgical Assistant)
4800 E JOHNSON AVE
JONESBORO, AR 72405
Student in an Organized Health Care Education/Training Program
4800 E JOHNSON AVE
JONESBORO, AR 72405
Registered Nurse
4800 E JOHNSON AVE
JONESBORO, AR 72405
Student in an Organized Health Care Education/Training Program
4800 E JOHNSON AVE
JONESBORO, AR 72405
Nurse Anesthetist, Certified Registered
4800 E JOHNSON AVE
JONESBORO, AR 72405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831772532, enumerated as an "individual" on April 30, 2021.

The provider is located at 4800 E JOHNSON AVE JONESBORO, AR 72405 and the phone number is (208) 312-2542.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, Health. Please consult your insurance carrier or call the provider to verify.

Jordan Liljenquist is affiliated with: POPLAR BLUFF REGIONAL MEDICAL CENTER and PARKLAND HEALTH CENTER.