Kierstin Rene Daugherty, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA14101

Practice address

5220 Northshore Dr
North Little Rock, AR 72118-5297

Phone

(501) 663-6455

Fax

(501) 663-4877

NPI assigned

Dec 11, 2020

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 identifiers 1

Other names 1

• Kierstin Rene Carr 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

Physician Assistant

Education

University of Arkansas College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bowen Hefley Rhodes Stewart Orthopedics, PAGroup PAC ID 3971580903, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arkansas Surgical Hospital Hospital, No Little Rock, AR, CCN 040147
• Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036
• Baptist Health Rehabilitation Institute Inpatient rehabilitation facility, Little Rock, AR, CCN 043026

Merit-based Incentive Payment System (MIPS)

Final score

88.04 of 100Reported as group

Quality

87.5

Promoting interoperability

100

Improvement activities

40

Cost

72.63

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbowen@bowenhefleyortho.emadirect.md

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.

• Bowen Hefley Rhodes Stewart Orthopedics, PA

  • Adult Reconstructive Orthopaedic Surgery Physician
  • North Little Rock, AR
  • NPI 1508877903
  Medicare reassignment Care Compare group
• Bowen Hefley Rhodes Stewart Orthopedics, PA

  • Orthopaedic Surgery Physician
  • North Little Rock, AR
  • NPI 1972825834

  Surgical

  NPD

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

• Arkansas Surgical Hospital, LLC

  • General Acute Care Hospital
  • North Little Rock, AR
  • NPI 1942260609
  Care Compare affiliation
• Baptist Health

  • Rehabilitation Hospital
  • Little Rock, AR
  • NPI 1215967831

  Inpatient rehabilitation facility

  Care Compare affiliation
• Baptist Health

  • General Acute Care Hospital
  • North Little Rock, AR
  • NPI 1497790042
  Care Compare affiliation

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1356937593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 NORTHSHORE DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721185297",
            "telephone_number": "501-663-6455",
            "fax_number": "501-663-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 NORTHSHORE DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721185297",
            "telephone_number": "501-663-6455",
            "fax_number": "501-663-4877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3127 W 2nd Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728014566",
            "country_code": "US",
            "telephone_number": "501-663-6455",
            "fax_number": "501-663-4877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 Landers Rd",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721172525",
            "country_code": "US",
            "telephone_number": "501-771-1600",
            "fax_number": "501-955-2252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "KIERSTIN",
        "middle_name": "RENE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": "PA14101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284103795",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbowen@bowenhefleyortho.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Bowen Hefley Orthopedics",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5220 Northshore Dr",
            "city": "North Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "721185297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIERSTIN",
            "last_name": "CARR",
            "middle_name": "RENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dillon Daniels, D.O.
• Stephen F. Daniels, PH.D
• Danny R. Cook, D.D.S., P.a.
• James E Darr III, M.D.
• Kanthi Balasundaram Dasari, D.O.
• Beth Ann Davenport, PHARM.D.
• Deborah June Davenport, LCSW
• David F Brockman
• David P Dean, M.D., P.a.
• Demi David

• Surgical Physician Assistant in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Surgical Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.