Jacob Rogier, DNP, CPNP-PC
Individual provider Active NPI Pediatric Nurse Practitioner · Little Rock Afb, AR
NPI 1043087455 · NPPES record last updated Oct 20, 2025
Key facts
- NPI
- 1043087455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 272006 (AZ)
- Practice address
- 1090 Arnold Dr
Little Rock Afb, AR 72099-4933 - Phone
- (501) 987-3080
- NPI assigned
- Dec 6, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251031003370 | AZ | Order and Referring Only - Nurse Practitioner | 8820587520 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272006 | AZ | MD | Pediatric Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 272006 | AZ | Yes |
Addresses
Primary practice location
1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Mailing address
1090 Arnold Dr
Little Rock Afb, AR 72099-4933
Phone (501) 987-3080
Other providers in Little Rock Afb, AR
- Benjamin Lee Reberger III
- Kasey Mitchell Reyes
- Rosten Scott Riggan
- Leah Ritter
- Racheal L Rivera
- Ashley L. Rose
- Cara D Roth
- Christine Lynnette Roth
- Joshua Routt
- Jeff J. Sandoval
All providers in Little Rock Afb, AR · Pediatric Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.