Jacqueline Devin Price, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

123954 Issued in AR

Practice address

111 Skyline Dr
Russellville, AR 72801-3363

Phone

(479) 498-4661

Fax

(501) 321-0710

NPI assigned

Mar 12, 2020

Last updated

Jul 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Renal Group PAGroup PAC ID 8921274721, shared by 4 NPIs, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacquelineprice@arkneph.ssdirect.aprima.com

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.

• Arkansas Renal Group PA

  dba Hot Springs Diagnostic Associates

  • Nephrology Physician
  • Hot Springs, AR
  • NPI 1699043067
  Medicare reassignment NPD
• Arkansas Renal Group PA

  dba Russellville Nephrology

  • Nephrology Physician
  • Russellville, AR
  • NPI 1922769322
  Medicare reassignment NPD
• St Mary's Physician Services LLC

  • General Practice Physician
  • Russellville, AR
  • NPI 1124084991
  Medicare reassignment NPD
• St Marys Physician Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Russellville, AR
  • NPI 1063626117
  NPD
• St Marys Physician Services, LLC

  dba Cardiology Associates of North Central Arkansas

  • Interventional Cardiology Physician
  • Russellville, AR
  • NPI 1720356207
  NPD (past)

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1144856998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WRIGHTS ST STE C",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136240",
            "telephone_number": "501-321-9803",
            "fax_number": "501-321-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SKYLINE DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013363",
            "telephone_number": "479-498-4661",
            "fax_number": "501-321-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JACQUELINE",
        "middle_name": "DEVIN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2023-07-19",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "123954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS APRN LICENSES",
            "identifier": "123954",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Power Chiropractic, PA
• Frankie Leon Pratt Jr., PT
• Taylor Nicole Pratt, HIS
• Prescriptive Nutrition, LLC
• Hope Rhianne Price
• Larry Price, M.D.
• Margaret (Margie) M. Price, SPEECH-LANGUAGE PATH
• Regina D Prince, CRNA
• Professional Christian Counseling Inc
• Benjamin Protheroe

• Family Nurse Practitioner in Russellville, AR
• Providers in Russellville, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.