Kelly Jane Hardin, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A003090 Issued in AR

Practice address

4401 S Thompson St
Springdale, AR 72764-7462

Phone

(479) 756-1300

Fax

(479) 751-7013

NPI assigned

Feb 11, 2008

Last updated

Mar 14, 2024By 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

• Kelly Jane Milburn Former name

Electronic endpoints 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

University of Missouri, Kansas City, School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Associates of Northwest Arkansas, PAGroup PAC ID 3678542073, 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kelly.hardin@mana.eclinicaldirectplus.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.

• Medical Associates of Northwest Arkansas, PA

  • Internal Medicine Physician
  • Fayetteville, AR
  • NPI 1801847827
  Medicare reassignment Care Compare group
• Mission Family Practice PLLC

  dba Mission Family Practice

  • Family Medicine Physician
  • Fayetteville, AR
  • NPI 1982009395
  Medicare reassignment NPD
• Medical Associates of Northwest Arkansas PA

  dba MANA Physical Therapy

  • Physical Therapist
  • Springdale, AR
  • NPI 1073991717
  NPD
• Medical Associates of Northwest Arkansas PA

  • Podiatrist
  • Fayetteville, AR
  • NPI 1164140729
  NPD (past)
• Medical Associates of Northwest Arkansas PA

  • Family Medicine Physician
  • Fayetteville, AR
  • NPI 1710218995
  NPD (past)
• Medical Associates of Northwest Arkansas PA

  • Family Medicine Physician
  • Springdale, AR
  • NPI 1831149582
  NPD (past)

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

• Northwest Arkansas Hospitals, LLC

  dba Northwest Medical Center

  • General Acute Care Hospital
  • Springdale, AR
  • NPI 1699726695
  Care Compare affiliation

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1225206436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1523",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727021523",
            "telephone_number": "479-571-6038",
            "fax_number": "479-582-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 S THOMPSON ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647462",
            "telephone_number": "479-756-1300",
            "fax_number": "479-751-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "KELLY",
        "middle_name": "JANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly.hardin@mana.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "kelly.hardin@mana.eclinicaldirectplus.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "4401 S Thompson St",
            "city": "Springdale",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727647462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MILBURN",
            "middle_name": "JANE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Har Ber Dental, PLLC
• Kristi Lea Harbison, M.S., C.C.C.-SLP
• Natalia Jateal Hardgrave, DDS
• James William Hardgraves, OD
• Caroline Hardin, PT, DPT
• Claire Hardwick, LPC
• Kyndal Hardy
• Laura Hardy, BSN
• Debbie S Harmon, PTA
• Kennedy Shay Harmon

• Family Nurse Practitioner in Springdale, AR
• Providers in Springdale, 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 Mar 14, 2024; 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.