Jourdan Quinn, APRN in Little Rock, AR - Medicare Nurse Practitioner

Jourdan Quinn, APRN is a medicare enrolled "Nurse Practitioner - Family" in Little Rock, Arkansas. Her current practice location is 11300 Cantrell Rd Ste 204, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 228-7662.

Jourdan Quinn is licensed to practice in Arkansas (license number A005913) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174910210.

Contact Information

	Jourdan Quinn, APRN
	11300 Cantrell Rd Ste 204, Little Rock, AR 72212
	(501) 228-7662
	Not Available

Map and Direction

Provider's Profile

Full Name	Jourdan Quinn
Gender	Female
Speciality	Nurse Practitioner - Family
Location	11300 Cantrell Rd Ste 204, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174910210
Provider Enumeration Date: 04/15/2015
Last Update Date: 08/01/2023

Medicare PECOS Information:

PECOS PAC ID: 2668726555
Enrollment ID: I20181113000252

Medical Identifiers

Medical identifiers for Jourdan Quinn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174910210	NPI	-	NPPES
1174910210	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A005913 (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jourdan Quinn allows following entities to bill medicare on her behalf.

Entity Name	Revive Health And Wellness Of Arkansas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548935646 PECOS PAC ID: 9032599923 Enrollment ID: O20220709000150

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jourdan Quinn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jourdan Quinn, APRN 11300 Cantrell Rd Ste 204, Little Rock, AR 72212-1842 Ph: (501) 779-8554	Jourdan Quinn, APRN 11300 Cantrell Rd Ste 204, Little Rock, AR 72212 Ph: (501) 228-7662

Reviews and Comments

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Jourdan Quinn, APRN - Medicare Nurse Practitioner in Little Rock, AR