Individual provider Active NPI

Kayla Ann Adams, APRN

  • Family Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1255077160
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
219611 Issued in AR
Practice address
4620 Rogers Ave Ste 101
Fort Smith, AR 72903-3121
Phone
(479) 384-5380
Fax
(479) 384-5382
NPI assigned
May 12, 2022
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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 219611 AR Primary
Family Medicine Physician 207Q00000X 219611 AR

Addresses

Primary practice location

4620 Rogers Ave Ste 101
Fort Smith, AR 72903-3121

Mailing address

4620 Rogers Ave Ste 101
Fort Smith, AR 72903-3121
Phone (479) 384-5380

Other practice location 1

7600 Rogers Ave
Fort Smith, AR 72903-5540
Phone (479) 226-8340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220613000811 AR Practitioner - Nurse Practitioner 7719365279 Reassigns benefits to 3 organizations
I20260127000623 OK Practitioner - Nurse Practitioner 7719365279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Northwest Arkansas Ambulatory Services, LLCGroup PAC ID 3779827993, 50 clinicians

Practice addresses (Care Compare)

4620 Rogers Ave
Suite 101
Fort Smith, AR 72903-3121
Phone (479) 384-5380

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-5175

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Northwest Arkansas Ambulatory Services LLC CurrentSince Jan 9, 2023 Accepting new patients
Signify Health, LLC CurrentSince Jan 1, 2026 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 1, 2026 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Sep 15, 2025 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Sep 15, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities Past Accepting new patients

Locations

4620 Rogers Ave
Ste 101
Fort Smith, AR 72903
Phone (479) 384-5380

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

2012 S Promenade Blvd
Rogers, AR 72758
Phone (479) 616-1485

10601 S Western Ave
Ste 100
Oklahoma City, OK 73170

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1255077160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 ROGERS AVE STE 101",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033121",
            "telephone_number": "479-384-5380",
            "fax_number": "479-384-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 ROGERS AVE STE 101",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033121",
            "telephone_number": "479-384-5380",
            "fax_number": "479-384-5382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 Rogers Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729035540",
            "country_code": "US",
            "telephone_number": "479-226-8340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KAYLA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "219611",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "219611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.