Individual provider Active NPI

Megan Brooke Kellar, APRN

  • Family Nurse Practitioner
  • Sherwood, AR
National Provider Identifier
1215596168
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
122022 Issued in AR
Practice address
2215 Wildwood Ave Ste 208
Sherwood, AR 72120-5092
Phone
(501) 552-7570
Fax
(501) 552-8540
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 122022 AR Primary
Emergency Registered Nurse 163WE0003X R092472 AR

Addresses

Primary practice location

2215 Wildwood Ave Ste 208
Sherwood, AR 72120-5092

Mailing address

2215 Wildwood Ave Ste 208
Sherwood, AR 72120-5092
Phone (501) 552-7570

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbkellar@stvincenthealth.com Other

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
I20191114002041 AR Practitioner - Nurse Practitioner 5890127799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical GroupGroup PAC ID 5698758803, 237 clinicians

Practice addresses (Care Compare)

10001 Lile Dr
Little Rock, AR 72205-6217
Phone (501) 227-8000

2215 Wildwood Ave
Suite 210
Sherwood, AR 72120-5092
Phone (501) 552-7300

701 N University Ave
Suite 203
Little Rock, AR 72205-2936
Phone (501) 664-2434

7709 Hwy 107
Sherwood, AR 72120-4661
Phone (501) 552-7269

Hospital & facility affiliations

  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026
  • St Vincent Medical Center/North Hospital, Sherwood, AR, CCN 040137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R092472ARMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group CurrentSince Apr 1, 2024 Accepting new patients
St Vincent Infirmary Medical Center CurrentSince Nov 4, 2019 Accepting new patients
St. Vincent Infirmary Medical Center Current Accepting new patients
St Vincent Infirmary Medical Center CurrentSince Nov 4, 2019 Accepting new patients
LSM-Newtrition P.L.C. Past Accepting new patients
St Vincent Physician Clinics LLC Family Past Accepting new patients

Locations

10100 Kanis Rd
Little Rock, AR 72205
Phone (501) 255-6000

16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

701 N University Ave
Ste 201
Little Rock, AR 72205
Phone (501) 552-4763

2215 Wildwood Ave
Ste 210
Sherwood, AR 72120
Phone (501) 552-7570

2215 Wildwood Ave
Ste 208
Sherwood, AR 72120
Phone (501) 552-7570

Interoperability endpoints

  • Direct secure messaging: mkellar457199@direct.stlukeshealth.org
  • Direct secure messaging: megan.kellar@svmgs.eclinicaldirectplus.com

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 7

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1215596168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 WILDWOOD AVE STE 208",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205092",
            "telephone_number": "501-552-7570",
            "fax_number": "501-552-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 WILDWOOD AVE STE 208",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205092",
            "telephone_number": "501-552-7570",
            "fax_number": "501-552-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLAR",
        "first_name": "MEGAN",
        "middle_name": "BROOKE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "122022",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AR",
            "license": "R092472",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbkellar@stvincenthealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "emails",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "23 Winthrop Rd",
            "city": "Morrilton",
            "state": "AR",
            "country_code": "US",
            "postal_code": "721104311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sherwood, AR

Sources for this page

Verify at the official NPI Registry.