Ariel Kelley
Individual provider Active NPI Family Nurse Practitioner · Harrison, AR
NPI 1659100154 · NPPES record last updated Aug 1, 2024
Key facts
- NPI
- 1659100154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 230021 (AR)
- Practice address
- 3890 Perry St
Harrison, AR 72601-8647 - Phone
- (870) 504-2419
- NPI assigned
- Aug 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Access Medical Clinic Arkansas LTC LLC
Practice addresses (Care Compare)
942 Hwy 65 N
Marshall, AR 72650-7772
Phone (888) 518-1418
Hospital & facility affiliations
- Baxter Health
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 |
|---|---|---|---|---|
| I20241119003747 | AR | Practitioner - Nurse Practitioner | 9234664830 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Medical Clinic Arkansas LTC LLC | Current |
Accepting new patients | |
| Access Medical Clinic Arkansas LTC LLC | Current |
Accepting new patients | |
| Access Medical Clinic Arkansas LTC LLC | Current | Accepting new patients |
Locations
4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100
942 Highway 65 N
Marshall, AR 72650
Phone (870) 448-3577
106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014
Interoperability endpoints
- ariel.kelley.1@29938.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 230021 | AR | Yes |
Addresses
Primary practice location
3890 Perry St
Harrison, AR 72601-8647
Mailing address
3890 Perry St
Harrison, AR 72601-8647
Other providers in Harrison, AR
- Joshua Curtis Keener
- Larry Dean Keener
- Louie Keener
- William Lynn Keener
- Lea Ann Keeton
- Barbara Kelly
- Reagan Brittany Kenney
- Kidworx Academy
- Kidworx Academy
- Christina Lee Kifer
All providers in Harrison, AR · Family 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 Aug 1, 2024. 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.