Kellie Manes, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

219003 Issued in AR

Practice address

4318 US Hwy 62-65
Harrison, AR 72601

Phone

(870) 414-4040

Fax

(870) 741-7618

NPI assigned

Sep 15, 2014

Last updated

Feb 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Arkansas Regional Medical CenterGroup PAC ID 5193615896, 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Arkansas Regional Medical Center Hospital, Harrison, AR, CCN 040017

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• North Arkansas Regional Medical Center

  dba NARMC The Med Urgent Care - North

  • Primary Care Clinic/Center
  • Harrison, AR
  • NPI 1588345243
  Medicare reassignment Care Compare group
• North Arkansas Regional Medical Center

  dba NARMC Primary and Obstetrical Care

  • Family Medicine Physician
  • Harrison, AR
  • NPI 1881375525
  NPD
• Maxus Inc

  dba Arkansas Counseling Associates

  • Mental Health Counselor
  • Newport, AR
  • NPI 1952558264
  NPD (past)
• North Arkansas Regional Medical Center

  dba North Arkansas Anesthesia

  • Anesthesiology Physician
  • Harrison, AR
  • NPI 1245355296
  NPD (past)
• North Arkansas Regional Medical Center

  dba NARMC Medicine Group

  • Family Medicine Physician
  • Harrison, AR
  • NPI 1780941625
  NPD (past)

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

• North Arkansas Regional Medical Center

  dba Emergency Medical Service Pro Fee

  • Land Ambulance
  • Harrison, AR
  • NPI 1013907682

  Hospital

  Care Compare affiliation
• North Arkansas Regional Medical Center

  • General Acute Care Hospital
  • Harrison, AR
  • NPI 1275523912
  Care Compare affiliation

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1043611502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 US HWY 62-65",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "870-414-4040",
            "fax_number": "870-741-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 US HWY 62-65",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "870-414-4040",
            "fax_number": "870-741-7618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANES",
        "first_name": "KELLIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "219003",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "219003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Dawn Magness
• Alexis M Mallett, MD
• Stephanie L Mallett, APRN
• Josh Felton Maloney, PHARMD
• Meagen Elise Malotte, PTA
• Peter Anthony Maningas, MD
• James Colton Mann
• Maple Esplanade LC
• Robert Wesley Marden
• Mahlon Ogden Maris, M. D.

• Family Nurse Practitioner in Harrison, AR
• Providers in Harrison, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.