NPIMap

Individual provider Active NPI

Jennifer Kristine Brock, APN

  • Nurse Practitioner
  • Searcy, AR
National Provider Identifier
1154664316
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
S002264 Issued in AR
Practice address
901 E Beebe Capps Expy
Searcy, AR 72143-6865
Phone
(501) 230-7311
Fax
(501) 881-4030
NPI assigned
Apr 5, 2013
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X S002264 AR Primary

Addresses

Primary practice location

901 E Beebe Capps Expy
Searcy, AR 72143-6865

Mailing address

901 E Beebe Capps Expy
Searcy, AR 72143-6865
Phone (501) 230-7311

Other identifiers 1

IdentifierTypeStateIssuer
201840758MedicaidAR

Other names 1

  • Ms. Jennifer K Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130625000111 AR Practitioner - Certified Clinical Nurse Specialist (CNS) 8921247933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
White County Medical CenterGroup PAC ID 4880688654, 182 clinicians

Practice addresses (Care Compare)

2900 Hawkins Dr
Searcy, AR 72143-4802
Phone (501) 278-2800

901 E Beebe Capps Expy
Searcy, AR 72143-6865
Phone (501) 230-7311

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
S002264ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Sleep and Wellness LLC Current Accepting new patients
Arkansas Heart Hospital Rural Health Services, LLC CurrentSince Mar 23, 2013 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Mar 23, 2013 Accepting new patients
Arkansas Health Group Current Accepting new patients
White County Medical Center CurrentSince Oct 29, 2018 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Mar 23, 2013 Accepting new patients
White County Medical Center CurrentSince Oct 29, 2018 Accepting new patients
White County Medical Center Past Accepting new patients

Locations

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

901 E Beebe Capps Expy
Searcy, AR 72143
Phone (501) 203-0801

Organizations & group practices 8

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1154664316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E BEEBE CAPPS EXPY",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436865",
            "telephone_number": "501-230-7311",
            "fax_number": "501-881-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E BEEBE CAPPS EXPY",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436865",
            "telephone_number": "501-230-7311",
            "fax_number": "501-881-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "JENNIFER",
        "middle_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "S002264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201840758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SMITH",
            "middle_name": "K",
            "prefix": "MS.",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.