Individual provider Active NPI

Kourtney Perdue, APRN

  • Family Nurse Practitioner
  • Conway, AR
National Provider Identifier
1396698353
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
236434 Issued in AR
Practice address
1500 Museum Rd Ste 104
Conway, AR 72032-4761
Phone
(501) 932-9010
Fax
(501) 585-9076
NPI assigned
Feb 19, 2026
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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 236434 AR Primary

Addresses

Primary practice location

1500 Museum Rd Ste 104
Conway, AR 72032-4761

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534

Other practice location 1

615 N Main St
Brinkley, AR 72021-2507
Phone (870) 734-1150

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
I20260303002116 AR Practitioner - Nurse Practitioner 1951883651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ArcareGroup PAC ID 2567370620, 249 clinicians

Practice addresses (Care Compare)

615 N Main
Arcare 70
Brinkley, AR 72021-2507
Phone (870) 734-1153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
236434ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince Feb 23, 2026 Accepting new patients
Arcare CurrentSince Feb 23, 2026 Accepting new patients

Locations

615 N Main St
#70
Brinkley, AR 72021
Phone (870) 734-1153

1500 Museum Rd
Ste 104
Conway, AR 72032
Phone (501) 329-3804

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, 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": "1771459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1396698353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MUSEUM RD STE 104",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324761",
            "telephone_number": "501-932-9010",
            "fax_number": "501-585-9076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 N Main St",
            "address_purpose": "LOCATION",
            "city": "Brinkley",
            "state": "AR",
            "postal_code": "720212507",
            "country_code": "US",
            "telephone_number": "870-734-1150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "KOURTNEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "236434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.