Individual provider Active NPI

Krislyn N Carder, NP

  • Family Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1255174181
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
234113 Issued in AR
Practice address
262 W Van Asche Loop Ste 40
Fayetteville, AR 72703-4996
Phone
(844) 215-0731
NPI assigned
Jun 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 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 234113 AR Primary

Addresses

Primary practice location

262 W Van Asche Loop Ste 40
Fayetteville, AR 72703-4996

Mailing address

2884 W Millstone Dr
Fayetteville, AR 72704-5004
Phone (765) 592-7172

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
I20250814003366 AR Practitioner - Nurse Practitioner 1557860855 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
Pain Treatment Centers of America PLLCGroup PAC ID 2769608819, 73 clinicians

Practice addresses (Care Compare)

262 W Van Asche Loop
Suite 40
Fayetteville, AR 72703-4996
Phone (877) 215-0731

Hospital & facility affiliations

  • Siloam Springs Regional Hospital Hospital, Siloam Springs, AR, CCN 040001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Treatment Centers of America PLLC CurrentSince Sep 2, 2025 Accepting new patients
Pain Treatment Centers of America, PLLC Interventional Pain Medicine CurrentSince Sep 2, 2025 Accepting new patients
Pain Treatment Centers of America, PLLC Past Accepting new patients

Locations

1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541

2902 Mid Cities Dr
Bentonville, AR 72712
Phone (870) 916-5500

262 W Van Asche Loop
#40
Fayetteville, AR 72703
Phone (877) 215-0731

4020 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 900-8763

Organizations & group practices 3

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": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1255174181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2884 W MILLSTONE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045004",
            "telephone_number": "765-592-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 W VAN ASCHE LOOP STE 40",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034996",
            "telephone_number": "844-215-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDER",
        "first_name": "KRISLYN",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "234113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.