Individual provider Active NPI

Alicia K Jagodzinski, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1629966965
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
120993 Issued in AR
Practice address
6 Shackleford Dr
Little Rock, AR 72211-2858
Phone
(500) 501-5001
NPI assigned
Jun 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 120993 AR Primary

Addresses

Primary practice location

6 Shackleford Dr
Little Rock, AR 72211-2858

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534

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
I20250721002607 AR Practitioner - Nurse Practitioner 0244746808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trublu, LLCGroup PAC ID 9133628084, 12 clinicians
ArcareGroup PAC ID 2567370620, 249 clinicians

Practice addresses (Care Compare)

1501 S Waldron Rd
Suite 204
Fort Smith, AR 72903-2565
Phone (479) 755-6900

2411 McCain Blvd
Suite 3
North Little Rock, AR 72116-7571
Phone (501) 500-5001

6 Shackleford Dr
Little Rock, AR 72211-2858
Phone (501) 500-5001

623 N 9TH St
Augusta, AR 72006-2129
Phone (870) 347-2534

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trublu, LLC Family Medicine CurrentSince Sep 26, 2025 Accepting new patients
Arcare CurrentSince Jul 14, 2025 Accepting new patients
Arcare CurrentSince Jul 14, 2025 Accepting new patients
Arcare Past Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

1501 S Waldron Rd
Ste 204
Fort Smith, AR 72903
Phone (479) 755-6900

6 Shackleford Dr
Little Rock, AR 72211
Phone (500) 501-5001

Interoperability endpoints

  • Direct secure messaging: alicia.jagodzinski@arcare.directbygreenway.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1629966965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SHACKLEFORD DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112858",
            "telephone_number": "500-501-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGODZINSKI",
        "first_name": "ALICIA",
        "middle_name": "K",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "120993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.