Individual provider Active NPI

Kelsey Lovingood Harper, PA-C

  • Physician Assistant
  • Fayetteville, AR
National Provider Identifier
1831620509
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PT2017-020 Issued in AR
Practice address
12 E Appleby Rd
Fayetteville, AR 72703-3901
Phone
(479) 463-4444
NPI assigned
Mar 24, 2017
Last updated
Mar 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PT2017-020 AR Primary

Addresses

Primary practice location

12 E Appleby Rd
Fayetteville, AR 72703-3901

Mailing address

12 E Appleby Rd
Fayetteville, AR 72703-3901
Phone (479) 463-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20170511000306 AR Practitioner - Physician Assistant 5294012795 Reassigns benefits to 1 organization
I20240822002136 FL Practitioner - Physician Assistant 5294012795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Neurological ClinicGroup PAC ID 9032015946, 36 clinicians

Practice addresses (Care Compare)

1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (850) 431-1155

1401 Centerville Rd
Suite 300
Tallahassee, FL 32308-4639
Phone (850) 877-5115

1401 Centerville Rd
Suite 300
Tallahassee, FL 32308-4659

1675 Riggins Rd
Tallahassee, FL 32308-5315
Phone (850) 656-4800

1775 One Healing PL
Tallahassee, FL 32308-4600
Phone (850) 431-4226

2160 Capital Cir NE
Suite 200
Tallahassee, FL 32308-4391
Phone (850) 558-1260

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone (850) 325-5000

2824 Mahan Dr
Tallahassee, FL 32308-5429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System CurrentSince Apr 4, 2017 Accepting new patients
Washington Regional Medical System CurrentSince Apr 4, 2017 Accepting new patients
Washington Regional Medical System Current Accepting new patients
Washington Regional Medical System Current Accepting new patients
Washington Regional Medical Center Past Accepting new patients
Washington Regional Medical System Past Accepting new patients

Locations

146 Passion Play Rd
Ste A
Eureka Springs, AR 72632
Phone (479) 253-2463

114 E Sunbridge Dr
Fayetteville, AR 72703
Phone (479) 463-2597

12 E Appleby Rd
Fayetteville, AR 72703
Phone (479) 463-4444

12 E Appleby Rd
Ste 101
Fayetteville, AR 72703
Phone (479) 463-4444

3336 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 444-8827

Interoperability endpoints

  • Direct secure messaging: kelseyharper@wrms.allscriptsdirect.net

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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1831620509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E APPLEBY RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033901",
            "telephone_number": "479-463-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E APPLEBY RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033901",
            "telephone_number": "479-463-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "KELSEY",
        "middle_name": "LOVINGOOD",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PT2017-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.