Kristy Nicole Adams, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Batesville, AR
NPI 1487299525 · NPPES record last updated Sep 27, 2021
Key facts
- NPI
- 1487299525
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 122193 (AR)
- Practice address
- 2330 Harrison St
Batesville, AR 72501-7419 - Phone
- (870) 698-2100
- Fax
- (870) 698-0109
- NPI assigned
- Nov 13, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Renew Mental Health and Wellness LLC
Practice addresses (Care Compare)
1150 E Matthews Ave
Suite 101a
Jonesboro, AR 72401-4356
Phone (870) 243-0424
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191217002429 | AR | Practitioner - Nurse Practitioner | 6901230382 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Mental Health and Wellness, LLC | Current |
Accepting new patients | |
| Renew Mental Health and Wellness LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1150 E Matthews Ave
Ste 101A
Jonesboro, AR 72401
Phone (870) 243-0424
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 122193 | AR | Yes |
Addresses
Primary practice location
2330 Harrison St
Batesville, AR 72501-7419
Mailing address
2230 Harrison St
Batesville, AR 72501-7417
Phone (870) 698-2100
Other providers in Batesville, AR
- Access Medical Clinic Arkansas, LLC
- Twyliah Acklin
- Summer Acre
- Jennifer Ann Adair
- Susan Adam
- Rhonda J Adams
- Victoria Adams
- Heather Ade
- Andrea E Agee
- Ragda Ahmed
All providers in Batesville, AR · Psychiatric/Mental Health Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.