Individual provider Active NPI

Katherine Nicole Jordan, APRN

  • Nurse Practitioner
  • Searcy, AR
National Provider Identifier
1750994802
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A004151 Issued in AR
Practice address
400 S Main St Ste 100
Searcy, AR 72143-7801
Phone
(501) 279-9000
Fax
(501) 368-0132
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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 A004151 AR Primary

Addresses

Primary practice location

400 S Main St Ste 100
Searcy, AR 72143-7801

Mailing address

400 S Main St Ste 100
Searcy, AR 72143-7801
Phone (501) 279-9000

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
I20211014002609 AR Practitioner - Nurse Practitioner 8224436654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
JP Wornock MD PAGroup PAC ID 4587569777, 19 clinicians

Practice addresses (Care Compare)

400 S Main St
100 Primcare Medical Clinic
Searcy, AR 72143-7801
Phone (501) 279-9000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J.P. Wornock M.D. P.a. CurrentSince Jul 7, 2021 Accepting new patients
J.P. Wornock M.D. P.a. CurrentSince Jul 7, 2021 Accepting new patients

Locations

205 E Race Ave
Searcy, AR 72143
Phone (501) 279-9000

400 S Main St
Ste 100
Searcy, AR 72143
Phone (501) 279-9000

Organizations & group practices 2

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1750994802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MAIN ST STE 100",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437801",
            "telephone_number": "501-279-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MAIN ST STE 100",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437801",
            "telephone_number": "501-279-9000",
            "fax_number": "501-368-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KATHERINE",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A004151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.