Individual provider Active NPI

Kristin R Pece, M.D.

  • Emergency Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1336378462
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
E-8163 Issued in AR
Practice address
7301 Rogers Av
Fort Smith, AR 72903
Phone
(903) 530-0167
NPI assigned
Jul 10, 2009
Last updated
Mar 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X PGY201104 LA
Emergency Medicine Physician 207P00000X E-8163 AR Primary

Addresses

Primary practice location

7301 Rogers Av
Fort Smith, AR 72903

Mailing address

7301 Rogers Av
Fort Smith, AR 72903
Phone (903) 530-0167

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131007000593 AR Practitioner - Emergency Medicine 0749414753 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital ParisGroup PAC ID 0244135705, shared by 5 NPIs, 8 clinicians

Practice addresses (Care Compare)

500 E Academy
Paris, AR 72855-4040
Phone (479) 963-6101

500 E Academy St
Paris, AR 72855-4040
Phone (479) 963-6101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-8163ARMDEmergency Medicine Physician
PGY201104LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Waldron CurrentSince Mar 1, 2023 Accepting new patients
Mercy Hospital Booneville Current Accepting new patients
Northwest Arkansas HBP Services LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
South Arkansas Emergency Physicians, LLP Emergency Medicine CurrentSince Feb 22, 2022 Accepting new patients
South Arkansas Emergency Physicians, LLP Emergency Medicine CurrentSince Feb 22, 2022 Accepting new patients
Mercy Hospital Ozark CurrentSince Dec 1, 2018 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc Emergency Medicine CurrentSince Mar 6, 2019 Accepting new patients
Mercy Hospital Waldron CurrentSince Mar 1, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince May 6, 2020 Accepting new patients
Mercy Hospital Booneville CurrentSince Jun 1, 2019 Accepting new patients
Mercy Hospital Paris CurrentSince Dec 1, 2018 Accepting new patients
East Arkansas Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 22, 2022 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Mercy Hospital Paris CurrentSince Dec 1, 2018 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Aug 12, 2013 Accepting new patients
Mercy Hospital Ozark CurrentSince Dec 1, 2018 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Aug 12, 2013 Accepting new patients
Mercy Hospital Paris CurrentSince Dec 1, 2018 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
East Arkansas Emergency Physicians, PLLC Emergency Medicine Current Accepting new patients
South Arkansas Emergency Physicians LLP Emergency Medicine Current Accepting new patients
Mercy Hospital Booneville CurrentSince Jun 1, 2019 Accepting new patients

Locations

1580 E Centerton Blvd
Bentonville, AR 72712
Phone (479) 553-2150

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

1100 E Poplar St
Clarksville, AR 72830
Phone (479) 754-5393

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

2901 S 74th St
Fort Smith, AR 72903
Phone (479) 314-1101

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

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

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 2

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": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1336378462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 ROGERS AV",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "903-530-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 ROGERS AV",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "903-530-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECE",
        "first_name": "KRISTIN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "PGY201104",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-8163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.