Active NPI
Kristen N Pollich, M.D.
- Family Medicine Physician
- Benton, AR
National Provider Identifier
1053449694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E2827
- Practice address
- 1304 Military Rd
Benton, AR 72015-2911 - Phone
- (501) 778-0934
- NPI assigned
- Mar 2, 2007
- Last updated
- Jan 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E2827 | AR | Primary |
Addresses
Primary practice location
1304 Military Rd
Benton, AR 72015-2911
Mailing address
1304 Military Rd
Benton, AR 72015-2911
Phone (501) 778-0934
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143759001 | Medicaid | AR |
Other names 1
- Kristen N Wright
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kristen-wright@fpabenton.e-mdsdirect.com | Direct |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1304 Military Rd
Benton, AR 72015-2911
Phone (501) 778-0934
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2827 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospective Health LTD | Family Medicine | Current | Accepting new patients |
| Neuroscience Associates PA | Past | Accepting new patients |
Locations
1304 Military Rd
Benton, AR 72015
Phone (501) 778-0934
3 Medical Park Dr
Ste 100
Benton, AR 72015
Phone (501) 778-0427
Interoperability endpoints
- kristen-wright@fpabenton.e-mdsdirect.com
- kristenwright-mmfpas@direct.medalliesmail.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Family Practice Associates
- Family Medicine Physician
- Benton, AR
- NPI 1114058682
-
dba Neurological Surgery Associates
- Neurological Surgery Physician
- North Little Rock, AR
- NPI 1255397337
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Elite Home Health
- Home Health Agency
- Hot Springs, AR
- NPI 1790724102
-
- Home Health Agency
- Bryant, AR
- NPI 1164071395
-
dba Baptist Health Medical Center-Little Rock
- General Acute Care Hospital
- Little Rock, AR
- NPI 1043240682
-
dba Saline Memorial Hospital
- General Acute Care Hospital
- Benton, AR
- NPI 1235111071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1053449694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 MILITARY RD",
"city": "BENTON",
"state": "AR",
"postal_code": "720152911",
"telephone_number": "501-778-0934",
"fax_number": "501-778-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 MILITARY RD",
"city": "BENTON",
"state": "AR",
"postal_code": "720152911",
"telephone_number": "501-778-0934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLICH",
"first_name": "KRISTEN",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E2827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143759001",
"state": "AR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kristen-wright@fpabenton.e-mdsdirect.com",
"affiliation": "N",
"endpointDescription": "EMDS Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1304 Military Rd",
"city": "Benton",
"state": "AR",
"country_code": "US",
"postal_code": "720152911",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "WRIGHT",
"middle_name": "N",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.