Individual provider Active NPI

Kayla Nicole Stockton, FNP-BC

  • Family Nurse Practitioner
  • Hot Springs, AR
National Provider Identifier
1023732716
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
221337 Issued in AR
Practice address
100 McGowan CT
Hot Springs, AR 71913-6452
Phone
(501) 525-9675
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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 221337 AR Primary

Addresses

Primary practice location

100 McGowan CT
Hot Springs, AR 71913-6452

Mailing address

PO Box 65
Prescott, AR 71857-0065
Phone (870) 796-2322

Other names 1

  • Kayla Nicole Quillin Former name

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
I20221014000811 AR Practitioner - Nurse Practitioner 9032585153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1440 W 1St
Collom and Carney Clinic
Prescott, AR 71857-3339
Phone (870) 887-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221337ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Collom & Carney Clinic Association CurrentSince Jan 1, 2024 Accepting new patients
Collom & Carney Clinic Association CurrentSince Jan 1, 2024 Accepting new patients
Collom and Carney Clinic Association Past Accepting new patients

Locations

1440 W 1st St N
Prescott, AR 71857
Phone (501) 777-2131

5002 Cowhorn Creek Rd
Texarkana, TX 75503
Phone (903) 614-3008

Interoperability endpoints

  • Direct secure messaging: kayla.stockton.p1@direct.collom-carney.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1023732716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718570065",
            "telephone_number": "870-796-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCGOWAN CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136452",
            "telephone_number": "501-525-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKTON",
        "first_name": "KAYLA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "221337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "QUILLIN",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.