Rachel A. Jacquez, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005221 Issued in AR

Practice address

5918 Lee Ave
Little Rock, AR 72205-3326

Phone

(501) 227-1860

Fax

(501) 353-0650

NPI assigned

Jul 25, 2017

Sex

Female

Sole proprietor

No

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

• Ali Raja MD PA

  • Neurological Surgery Physician
  • Little Rock, AR
  • NPI 1477126282

  AR

  Medicare reassignment Care Compare group NPD
• Neuroscience Associates PA

  • Neurological Surgery Physician
  • North Little Rock, AR
  • NPI 1255397337

  AR

  Medicare reassignment NPD

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

• Arkansas Surgical Hospital, LLC

  • General Acute Care Hospital
  • North Little Rock, AR
  • NPI 1942260609

  Hospital

  Care Compare affiliation
• St Vincent Infirmary Medical Center

  • Psychiatric Hospital Unit
  • Little Rock, AR
  • NPI 1710442801

  Hospital

  Care Compare affiliation
• St Vincent Infirmary Medical Center

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1780684431

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ali Raja MD PA 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arkansas Surgical Hospital Hospital, No Little Rock, AR, CCN 040147
• CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 30, 2021.

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1487177010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 LEE AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053326",
            "telephone_number": "501-227-1860",
            "fax_number": "501-353-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5918 LEE AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053326",
            "telephone_number": "501-227-1860",
            "fax_number": "501-353-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUEZ",
        "first_name": "RACHEL",
        "middle_name": "A.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathalie Jacobs
• Richard Jacobs, MD
• Samantha Jacobs, OTR/L
• Sandee Miller Jacobs, APN
• Marci Medenwald Jacobsen, BS, BS, AAS
• Lea Shannon Jacuzzi, DPT
• Rahul Jadhav, MBBS DMRD DNB
• Dharmikkumar Bharatbhai Jadvani
• Matthew W. Jaeger, MD
• Muhammad Jaffar, MD

• All providers in Little Rock, AR
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.