Individual provider Active NPI

Jordan N Weisenbach, APRN

  • Nurse Practitioner
  • Pocahontas, AR
National Provider Identifier
1619774346
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
232200 Issued in AR
Practice address
2901 Medical Center Dr
Pocahontas, AR 72455-9402
Phone
(870) 892-4467
Fax
(870) 892-4407
NPI assigned
Feb 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 232200 AR
Nurse Practitioner 363L00000X 232200 AR Primary

Addresses

Primary practice location

2901 Medical Center Dr
Pocahontas, AR 72455-9402

Mailing address

300 Camp Rd
Pocahontas, AR 72455-9131
Phone (573) 686-4151

Other practice location 1

300 Camp Rd
Pocahontas, AR 72455-9131
Phone (573) 686-4151

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
I20250521000094 AR Practitioner - Nurse Practitioner 1153849328 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pocahontas Medical Clinic PA Family Medicine CurrentSince Mar 9, 2025 Accepting new patients
Pocahontas Medical Clinic PA Family Medicine Current Accepting new patients
Pocahontas Medical Clinic PA Family Medicine CurrentSince Mar 9, 2025 Accepting new patients

Locations

2901 Medical Center Dr
Ste 500
Pocahontas, AR 72455
Phone (870) 892-4467

2901 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-4467

1601 Market Dr
Pocahontas, AR 72455
Phone (870) 892-4467

Organizations & group practices 3

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": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1619774346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CAMP RD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559131",
            "telephone_number": "573-686-4151",
            "fax_number": "573-686-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 MEDICAL CENTER DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559402",
            "telephone_number": "870-892-4467",
            "fax_number": "870-892-4407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Camp Rd",
            "address_purpose": "LOCATION",
            "city": "Pocahontas",
            "state": "AR",
            "postal_code": "724559131",
            "country_code": "US",
            "telephone_number": "573-686-4151",
            "fax_number": "573-686-9648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISENBACH",
        "first_name": "JORDAN",
        "middle_name": "N",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "232200",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "232200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, AR

Sources for this page

Verify at the official NPI Registry.