Individual provider Active NPI

Nettie Ann Kinsey, FNP

  • Family Nurse Practitioner
  • Springdale, AR
National Provider Identifier
1154406486
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005271 Issued in AR
Practice address
2158 Butterfield Coach Rd Ste 100
Springdale, AR 72764-8378
Phone
(479) 757-5026
Fax
(479) 757-5028
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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 A005271 AR Primary

Addresses

Primary practice location

2158 Butterfield Coach Rd Ste 100
Springdale, AR 72764-8378

Mailing address

2158 Butterfield Coach Rd Ste 100
Springdale, AR 72764-8378
Phone (479) 757-5026

Other identifiers 3

IdentifierTypeStateIssuer
178715201MedicaidTX
225054758MedicaidAR
8Y0113OtherTXBLUE CROSS PROVIDER #

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
I20171006002382 AR Practitioner - Nurse Practitioner 5799799623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Physicians LLCGroup PAC ID 0244213213, 36 clinicians

Practice addresses (Care Compare)

2158 Butterfield Coach Rd
Springdale, AR 72764-9142
Phone (479) 757-5026

601 W Maple Ave
Springdale, AR 72764-5374

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005271ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC CurrentSince Mar 1, 2025 Accepting new patients
St Francis House Nwa, Inc Current Accepting new patients
St. Francis House Nwa, Inc CurrentSince Jan 22, 2018 Accepting new patients
St Francis House Nwa, Inc CurrentSince Jan 22, 2018 Accepting new patients
Northwest Physicians LLC CurrentSince Mar 1, 2025 Accepting new patients
St. Mark'S Medical Center Past Accepting new patients

Locations

375 N Rupple Rd
Fayetteville, AR 72704
Phone (479) 718-0200

1233 W Poplar St
Rogers, AR 72756
Phone (479) 636-9235

500 S Mount Olive St
Ste 200
Siloam Springs, AR 72761
Phone (479) 524-9550

304 S Maxwell St
Siloam Springs, AR 72761
Phone (479) 524-9550

420 N West End St
Springdale, AR 72764
Phone (479) 750-8859

614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

2158 Butterfield Coach Rd
Ste 100
Springdale, AR 72764
Phone (479) 757-5026

Interoperability endpoints

  • Direct secure messaging: nettie.kinsey.1@2229.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7997/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 1

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1154406486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 BUTTERFIELD COACH RD STE 100",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727648378",
            "telephone_number": "479-757-5026",
            "fax_number": "479-757-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 BUTTERFIELD COACH RD STE 100",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727648378",
            "telephone_number": "479-757-5026",
            "fax_number": "479-757-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSEY",
        "first_name": "NETTIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178715201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225054758",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "8Y0113",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.