Individual provider Active NPI

Jaren Jurian Hernandez

  • Physician Assistant
  • Rogers, AR
National Provider Identifier
1144108036
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-1445 Issued in AR
Practice address
2708 S Rife Medical LN
Rogers, AR 72758-1452
Phone
(479) 338-3030
Fax
(479) 338-3079
NPI assigned
Aug 26, 2025
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-1445 AR Primary

Addresses

Primary practice location

2708 S Rife Medical LN
Rogers, AR 72758-1452

Mailing address

2708 S Rife Medical LN Ste 300
Rogers, AR 72758-1457
Phone (479) 338-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119000126 AR Practitioner - Physician Assistant 4789175670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Northwest Arkansas CommunitiesGroup PAC ID 0648177873, shared by 5 NPIs, 314 clinicians

Practice addresses (Care Compare)

2708 S Rife Medical LN
Suite 300
Rogers, AR 72758-1457
Phone (479) 338-3030

2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 338-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-1445ARMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 6, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 6, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 6, 2025 Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

2708 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-3030

2708 S Rife Medical Ln
Ste 300
Rogers, AR 72758
Phone (479) 338-3030

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 636-0200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1144108036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 S RIFE MEDICAL LN STE 300",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581457",
            "telephone_number": "479-338-3030",
            "fax_number": "479-338-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 S RIFE MEDICAL LN",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581452",
            "telephone_number": "479-338-3030",
            "fax_number": "479-338-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JAREN",
        "middle_name": "JURIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-1445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.