Individual provider Active NPI

Kristin Lynn Markell, M.D.

  • Gynecology Physician
  • Springdale, AR
National Provider Identifier
1669679262
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
E5659 Issued in AR
Practice address
5320 W Sunset Ave Ste 157
Springdale, AR 72762-4410
Phone
(479) 222-0966
Fax
(888) 404-5892
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X E-5659 AR
Gynecology Physician 207VG0400X E5659 AR Primary

Addresses

Primary practice location

5320 W Sunset Ave Ste 157
Springdale, AR 72762-4410

Mailing address

506 E Ozark View Dr
Fayetteville, AR 72703-2325
Phone (501) 681-5717

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090926000035 AR Practitioner - Obstetrics/Gynecology 5991851354 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E5659ARMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System Obstetrics & Gynecology CurrentSince Aug 1, 2009 Accepting new patients
Washington Regional Medical Center Past Accepting new patients

Locations

12 E Appleby Rd
Ste 102
Fayetteville, AR 72703
Phone (479) 463-4746

3215 N Northhills Blvd
Ste B
Fayetteville, AR 72703
Phone (479) 463-1000

813 Founders Park Dr W
Ste 201
Springdale, AR 72762
Phone (479) 463-5500

Interoperability endpoints

  • Direct secure messaging: kristinmarkell@wrms.allscriptsdirect.net

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1669679262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 E OZARK VIEW DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032325",
            "telephone_number": "501-681-5717",
            "fax_number": "888-404-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 W SUNSET AVE STE 157",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727624410",
            "telephone_number": "479-222-0966",
            "fax_number": "888-404-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKELL",
        "first_name": "KRISTIN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E-5659",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AR",
            "license": "E5659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.