NPIMap

Individual provider Active NPI

Kelly Beth Wright, APRN

  • Acute Care Nurse Practitioner
  • Conway, AR
National Provider Identifier
1720479223
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
A004299 Issued in AR
Practice address
9501 Baptist Health Dr Ste 900
Little Rock, AR 72205-6234
Phone
(501) 219-0721
Fax
(501) 224-0420
NPI assigned
Feb 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X A004299 AR Primary

Addresses

Primary practice location

9501 Baptist Health Dr Ste 900
Little Rock, AR 72205-6234

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 219-0721

Other names 1

  • Miss Kelly Beth Mosley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150325000506 AR Practitioner - Nurse Practitioner 8820315161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arkansas College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2200 Ada Ave
Suite 201
Conway, AR 72034-4984
Phone (501) 852-1360

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys Physician Services, LLC CurrentSince Apr 1, 2019 Accepting new patients
Conway Regional Medical Center Inc CurrentSince Mar 1, 2023 Accepting new patients
Conway Regional Medical Center, Inc. Current Accepting new patients
St Mary'S Physician Services LLC CurrentSince Apr 1, 2019 Accepting new patients
Conway Regional Medical Center, Inc CurrentSince Mar 1, 2023 Accepting new patients
Icarepro of Texas, PA Past Accepting new patients
St Marys Physician Services, LLC Past Accepting new patients
Conway Regional Medical Center Inc Past Accepting new patients

Locations

2302 College Ave
Conway, AR 72034
Phone (501) 329-3831

2200 Ada Ave
Ste 201
Conway, AR 72034
Phone (501) 852-1360

1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178

101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1720479223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393",
            "telephone_number": "501-219-0721",
            "fax_number": "501-224-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 BAPTIST HEALTH DR STE 900",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056234",
            "telephone_number": "501-219-0721",
            "fax_number": "501-224-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KELLY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A004299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MOSLEY",
            "middle_name": "BETH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.