Kelly Leshell Hardin, ANP, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A003837 Issued in AR

Practice address

1205 E 35TH St
Texarkana, AR 71854-2746

Phone

(870) 216-0080

Fax

(870) 216-0096

NPI assigned

Apr 1, 2013

Last updated

Nov 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Medical Clinic Arkansas LLCGroup PAC ID 5890077093, 143 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Home Health Home health agency, Nashville, AR, CCN 047138
• Howard Memorial Hospital Hospital, Nashville, AR, CCN 041311
• Sevier County Medical Center Hospital, De Queen, AR, CCN 041333

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.hardin.1@15024.direct.athenahealth.com

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.

• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Salem, AR
  • NPI 1578007647
  Medicare reassignment Care Compare group
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Flippin, AR
  • NPI 1184163008
  NPD
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Camden, AR
  • NPI 1508563362
  NPD
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Dierks, AR
  • NPI 1295317295
  NPD (past)
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Mena, AR
  • NPI 1407576812
  NPD (past)
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Prairie Grove, AR
  • NPI 1770203184
  NPD (past)

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

• Howard Memorial Hospital

  • Critical Access Hospital
  • Nashville, AR
  • NPI 1851484695
  Care Compare affiliation
• Sevier County Medical Center

  • Critical Access Hospital
  • De Queen, AR
  • NPI 1386367506
  Care Compare affiliation
• Southwest Arkansas Homecare, LLC

  dba Elite Home Health

  • Home Health Agency
  • Nashville, AR
  • NPI 1881892404
  Care Compare affiliation

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1104169895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1326",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756711326",
            "telephone_number": "903-927-3782",
            "fax_number": "903-927-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E 35TH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718542746",
            "telephone_number": "870-216-0080",
            "fax_number": "870-216-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "KELLY",
        "middle_name": "LESHELL",
        "credential": "ANP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A003837",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003837",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R072933",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR LICENSE",
            "identifier": "A003837",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaletha Roshel Hall
• Denorise J Hamilton
• Jennifer Hammett, RPH
• Sam Hammett III, R.PH.
• Raelyn Hardee
• Elizabeth Claire Hardy, APRN
• Angela Harless, LAC
• Gina L Harper, LPN
• Ada Michelle Harris
• Genita L Harris, MHPP

• Family Nurse Practitioner in Texarkana, AR
• Providers in Texarkana, 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 Nov 15, 2018; 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.