NPIMap

Individual provider Active NPI

Kelly-Ann Andrea Patrice, M.D.

  • Vascular Neurology Physician
  • Little Rock, AR
National Provider Identifier
1316295181
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
E-10986 Issued in AR
Practice address
University of Arkansas for Medical Sciences
4301 W. Markham St. #500
Little Rock, AR 72223-0001
Phone
(501) 686-5838
NPI assigned
Aug 27, 2012
Last updated
Aug 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X E-10986 AR Primary

Addresses

Primary practice location

University of Arkansas for Medical Sciences
4301 W. Markham St. #500
Little Rock, AR 72223-0001

Mailing address

4301 W Markham St # 500
Little Rock, AR 72205-7101
Phone (501) 686-5838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828001121 NE Practitioner - Neurology 5395969992 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Faith Regional Health ServicesGroup PAC ID 8921902966, 19 clinicians
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

2700 W Norfolk Ave
Faith Health
Norfolk, NE 68701-4438
Phone (402) 371-4880

4242 Farnam St
Suite 650
Omaha, NE 68131-2813
Phone (402) 559-8600

611 W Francis St
200 Great Plains Health Outpatient Services
North Platte, NE 69101-0614
Phone (308) 568-3500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-10986ARMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Regional Health Services CurrentSince Apr 1, 2025 Accepting new patients
North Platte Nebraska Hospital Corporation CurrentSince Aug 1, 2024 Accepting new patients
Unmc Physicians CurrentSince Aug 1, 2024 Accepting new patients
Faith Regional Health Services CurrentSince Apr 1, 2025 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
The Nebraska Medical Center Past Accepting new patients

Locations

2700 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 644-7131

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

611 W Francis St
Ste 200
North Platte, NE 69101
Phone (308) 534-9230

4242 Farnam St
Ste 650
Omaha, NE 68131
Phone (402) 502-8787

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-1010

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

Interoperability endpoints

  • Direct secure messaging: kpatrice480313@direct.nebraskamed.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1316295181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 500",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES",
            "address_2": "4301 W. MARKHAM ST. #500",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230001",
            "telephone_number": "501-686-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICE",
        "first_name": "KELLY-ANN",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "AR",
            "license": "E-10986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.