Kelly Ann Lueders, DMS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-443 Issued in AR

Practice address

1303 NE Legacy Pkwy
Bentonville, AR 72712-4940

Phone

(479) 271-2387

Fax

(479) 202-4840

NPI assigned

May 26, 2006

Last updated

Sep 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Kelly Ann Elliott Former name

Medicare fee-for-service enrollment

Enrolled in AR, MO2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Medical Clinic Arkansas LLCGroup PAC ID 5890077093, 143 clinicians

SHC Medical Partners of Arkansas LLCGroup PAC ID 2668919812, 28 clinicians

Appello Health and Wellness Clinic LLCGroup PAC ID 3971043290, 76 clinicians

Curana Health of Arkansas LLCGroup PAC ID 1658684675, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.lueders.1@15024.direct.athenahealth.com

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.

• SHC Medical Partners of Arkansas, LLC

  • Nurse Practitioner
  • Little Rock, AR
  • NPI 1821830795
  Medicare reassignment Care Compare group NPD
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Salem, AR
  • NPI 1578007647
  Medicare reassignment Care Compare group
• Appello Health and Wellness Clinic, LLC

  • Rural Health Clinic/Center
  • Malvern, AR
  • NPI 1215773262
  Medicare reassignment Care Compare group
• Curana Health of Arkansas LLC

  • Nurse Practitioner
  • Bentonville, AR
  • NPI 1659750214
  Medicare reassignment Care Compare group
• Abode Care Partners Al VB, LLC

  • Nurse Practitioner
  • Little Rock, AR
  • NPI 1861205460
  Medicare reassignment NPD
• Abode Care Partners LTC VB, LLC

  • Nurse Practitioner
  • Little Rock, AR
  • NPI 1669285367
  Medicare reassignment NPD
• Icp Arkansas Aco Billing LLC

  • Clinical Nurse Specialist
  • Maumelle, AR
  • NPI 1679157838
  Medicare reassignment NPD
• Medical Associates of Northwest Arkansas, PA

  • Internal Medicine Physician
  • Fayetteville, AR
  • NPI 1801847827
  Medicare reassignment
• Mercy Northwest Arkansas Ambulatory Services LLC

  • Urgent Care Clinic/Center
  • Springdale, AR
  • NPI 1366922320
  Medicare reassignment
• Northwest Benton County Physician Services LLC

  • Family Medicine Physician
  • Bentonville, AR
  • NPI 1871553073
  Medicare reassignment
• Northwest Physicians LLC

  • Obstetrics Physician
  • Springdale, AR
  • NPI 1194768721
  Medicare reassignment
• Pea Ridge Urgent Care Clinic

  • Urgent Care Clinic/Center
  • Pea Ridge, AR
  • NPI 1558140749
  Medicare reassignment

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1730135922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 NE LEGACY PKWY",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124940",
            "telephone_number": "501-337-9031",
            "fax_number": "479-202-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 NE LEGACY PKWY",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124940",
            "telephone_number": "479-271-2387",
            "fax_number": "479-202-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEDERS",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "DMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PA-443",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1191",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2009009834",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "ELLIOTT",
            "middle_name": "ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Kathleen Low, MD
• Laura Lowery, FNP
• Caryn Loy
• Kevin Timothy Lucas, OTRL
• James William Luebben, MA LPE
• Melissa Louise Lund, MA
• Summer D Lunsford, MHPP
• Taylor Lunsford, PT, DPT
• Shazhou Luo, A.N.P
• Erica Nicole Lurten, AU.D.

• Physician Assistant in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.