Kelsey Breanne Gay, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

121402 Issued in AR

Practice address

2988 W Huntsville Ave Ste C
Springdale, AR 72762-7739

Phone

(479) 250-4849

NPI assigned

Jul 12, 2019

Last updated

Jul 27, 2025By 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 1

Addresses

Other names 1

• Kelsey Breanne Smith Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Circle of Life Palliative Care LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Springdale, AR
  • NPI 1851179485
  Medicare reassignment NPD
• Basis Internal Medicine LLC

  • Internal Medicine Physician
  • Springdale, AR
  • NPI 1306385950
  NPD (past)
• Icarepro of Texas, PA

  • Clinical Nurse Specialist
  • Texarkana, TX
  • NPI 1396193066
  NPD (past)

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753574400000",
    "number": "1043862766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2988 W HUNTSVILLE AVE STE C",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727627739",
            "telephone_number": "479-250-4849",
            "fax_number": "208-549-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2988 W HUNTSVILLE AVE STE C",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727627739",
            "telephone_number": "479-250-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAY",
        "first_name": "KELSEY",
        "middle_name": "BREANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "121402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "SMITH",
            "middle_name": "BREANNE",
            "credential": "SMITH (MAIDEN NAME)",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karla Rae Gateley, LCSW
• Whitney Lynn Gates, LCSW
• Jordan Gattis, M.S. CF-SLP
• Trent Gattis
• Emily Bev Gauldin, BCBA
• Laura Gehring
• Amanda Ann Geng
• Kevin Michael Geng, MHPP
• Genoa Healthcare LLC
• Nancy Renee George, MPT

• Adult Health Nurse Practitioner in Springdale, AR
• Providers in Springdale, AR by specialty
• Adult Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.