Individual provider Active NPI

Rebecca Grace Kesner

  • Women's Health Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1679104228
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
123646 Issued in AR
Practice address
4900 Kelley Hwy
Fort Smith, AR 72904-5000
Phone
(479) 785-5700
NPI assigned
Feb 3, 2020
Last updated
Feb 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 123646 AR Primary

Addresses

Primary practice location

4900 Kelley Hwy
Fort Smith, AR 72904-5000

Mailing address

4900 Kelley Hwy
Fort Smith, AR 72904-5000
Phone (479) 785-5700

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
I20200305002454 AR Practitioner - Nurse Practitioner 4183051055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4900 Kelley Hwy
Fort Smith, AR 72904-5000
Phone (479) 785-5700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Primary Care Services CurrentSince Mar 1, 2020 Accepting new patients
River Valley Primary Care Services CurrentSince Mar 1, 2020 Accepting new patients
River Valley Primary Care Services Current Accepting new patients

Locations

708 W Main St
Clarksville, AR 72830
Phone (479) 668-3282

1273 E Highway 64
Coal Hill, AR 72832
Phone (479) 279-7670

3202 N 6th St
Fort Smith, AR 72904
Phone (479) 314-1456

4003 Massard Rd
Fort Smith, AR 72903
Phone (479) 226-3836

4900 Kelley Hwy
Fort Smith, AR 72904
Phone (479) 783-0221

920 S Highway 45
Fort Smith, AR 72916
Phone (479) 255-6095

635 Childers Ave
Lamar, AR 72846
Phone (479) 668-4881

603 S Division St
Lavaca, AR 72941
Phone (479) 279-7700

722 Highway 282 SW
Mountainburg, AR 72946
Phone (479) 369-2086

421 N Main St
Mulberry, AR 72947
Phone (479) 997-1484

2074 Rice St
Waldron, AR 72958
Phone (479) 637-2100

Interoperability endpoints

  • Direct secure messaging: rkesner589672@direct.ochin.org

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1679104228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 KELLEY HWY",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729045000",
            "telephone_number": "479-785-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 KELLEY HWY",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729045000",
            "telephone_number": "479-785-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESNER",
        "first_name": "REBECCA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AR",
            "license": "123646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.