Individual provider Active NPI

Kimberlee Sartain, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Barling, AR
National Provider Identifier
1619487733
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
A005283 Issued in AR
Practice address
815 Fort St Ste a
Barling, AR 72923-2180
Phone
(479) 235-5597
NPI assigned
Oct 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X A005283 AR Primary

Addresses

Primary practice location

815 Fort St Ste a
Barling, AR 72923-2180

Mailing address

6104 S 66TH St Apt 4
Fort Smith, AR 72903-6639

Other practice location 1

10301 Mayo Dr
Barling, AR 72923-1660
Phone (479) 310-8194

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
I20171128000992 AR Practitioner - Nurse Practitioner 9133486228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
We Psychiatric Services PLLCGroup PAC ID 5698142248, 8 clinicians

Practice addresses (Care Compare)

1301 Wilson Rd
Little Rock, AR 72205-6659
Phone (501) 225-0576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Resolution Resources, Inc PastSince May 27, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1619487733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 S 66TH ST APT 4",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 FORT ST STE A",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "729232180",
            "telephone_number": "479-235-5597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10301 Mayo Dr",
            "address_purpose": "LOCATION",
            "city": "Barling",
            "state": "AR",
            "postal_code": "729231660",
            "country_code": "US",
            "telephone_number": "479-310-8194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARTAIN",
        "first_name": "KIMBERLEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A005283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barling, AR

Sources for this page

Verify at the official NPI Registry.