Vickie L Keffer
Individual provider Active NPI Family Nurse Practitioner · Little Rock, AR
NPI 1821384587 · NPPES record last updated May 29, 2026
Key facts
- NPI
- 1821384587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A0O3524 (AR)
- Practice address
- 4301 W Markham St # 853
Little Rock, AR 72205-7101 - Phone
- (501) 686-8000
- Fax
- (501) 526-5148
- NPI assigned
- Jun 21, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110802000250 | AR | Practitioner - Nurse Practitioner | 1254236912 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R36154 | AR | MD | Registered Nurse |
| A0O3524 | AR | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R36154 | AR | |
| Family Nurse Practitioner | 363LF0000X | A0O3524 | AR | Yes |
Addresses
Primary practice location
4301 W Markham St # 853
Little Rock, AR 72205-7101
Mailing address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000
Other practice location 1
1609 West 40th Avenue
Suite 205
Pine Bluff, AR 71603
Phone (870) 541-3230
Other names
- Vickie L Mizell
Other providers in Little Rock, AR
- Leah D Keel
- Delana June Keeler
- Candace Keelin
- Leighton Keen
- Holly Keeney
- Anguel Kehayov
- John W Keisker
- Claire Keisling
- Curtis Andra Keith
- Kelsey Bradbury Keith
All providers in Little Rock, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.