Individual provider Active NPI

Kellie L Berry-Hert, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1710026257
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
A004240 Issued in AR
Practice address
400 W Capitol Ave Ste 1700
Little Rock, AR 72201-3438
Phone
(833) 351-8255
NPI assigned
Feb 5, 2007
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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 A004240 AR Primary

Addresses

Primary practice location

400 W Capitol Ave Ste 1700
Little Rock, AR 72201-3438

Mailing address

4201 S 36TH St
Omaha, NE 68107-1324
Phone (402) 917-3756

Other practice location 1

109 W 27th St Ste 55
New York, NY 10001-0265
Phone (833) 351-8255

Other practice location 2

12020 Shamrock Plz Ste 200
Omaha, NE 68154-3537
Phone (833) 351-8255

Other practice location 3

4435 E Chandler Blvd
Phoenix, AZ 85048-7649
Phone (833) 351-8255 ext. 73756

Other practice location 4

6500 University Ave
Des Moines, IA 50324-1607
Phone (833) 351-8255 ext. 73756

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
I20141210001507 AR Practitioner - Nurse Practitioner 6406026244 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2074 Rice St
Waldron, AR 72958-7435
Phone (479) 668-4700

3202 N 6TH St
Fort Smith, AR 72904-4164
Phone (479) 783-3900

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

722 Hwy 282 SW
Mountainburg, AR 72946-4308
Phone (479) 369-2091

9755 W State Hwy 22
Ratcliff, AR 72951-9000
Phone (479) 431-2050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Primary Care Services CurrentSince Dec 4, 2023 Accepting new patients
Western Arkansas Counseling & Guidance Center, Inc Current Accepting new patients
Texarkana Behavioral Associates, L.C. CurrentSince Nov 10, 2014 Accepting new patients
River Valley Primary Care Services CurrentSince Dec 4, 2023 Accepting new patients
Texarkana Behavioral Associates, L.C. CurrentSince Nov 10, 2014 Accepting new patients
The Guidance Center - Waldron Clinic CurrentSince Aug 1, 2017 Accepting new patients
River Valley Primary Care Services Current Accepting new patients

Locations

10301 Mayo Dr
Barling, AR 72923
Phone (479) 494-5760

4253 N Crossover Rd
Fayetteville, AR 72703
Phone (479) 443-6496

3111 S 70th St
Fort Smith, AR 72903

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

1857 Rice St
Waldron, AR 72958
Phone (479) 637-2468

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1710026257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 S 36TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681071324",
            "telephone_number": "402-917-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CAPITOL AVE STE 1700",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013438",
            "telephone_number": "833-351-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 W 27th St Ste 55",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100010265",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12020 Shamrock Plz Ste 200",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681543537",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4435 E Chandler Blvd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850487649",
            "country_code": "US",
            "telephone_number": "833-351-8255 x73756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6500 University Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503241607",
            "country_code": "US",
            "telephone_number": "833-351-8255 x73756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY-HERT",
        "first_name": "KELLIE",
        "middle_name": "L",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A004240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.