Individual provider Active NPI

Kasey Leigh McClain, APRN, FNP-C

  • Family Nurse Practitioner
  • El Dorado, AR
National Provider Identifier
1861925331
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005215 Issued in AR
Practice address
2280 E Main St
El Dorado, AR 71730
Phone
(870) 444-5216
Fax
(870) 895-2164
NPI assigned
Apr 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A005215 AR Primary

Addresses

Primary practice location

2280 E Main St
El Dorado, AR 71730

Mailing address

4172 S Jackson Ave
El Dorado, AR 71730-2028
Phone (870) 818-2666

Other identifiers 1

IdentifierTypeStateIssuer
221076758MedicaidAR

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
I20170815004314 AR Practitioner - Nurse Practitioner 4981976602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Medical Clinic Arkansas LLC 143 clinicians

Practice addresses (Care Compare)

16723 Hwy 62
Garfield, AR 72732-7007
Phone (870) 219-7706

2280 E Main St
El Dorado, AR 71730-6526
Phone (870) 895-2015

806 E Main St
Flippin, AR 72634-8668
Phone (870) 219-7706

Hospital & facility affiliations

  • South Arkansas Regional Hospital LLC Hospital, El Dorado, AR, CCN 040088

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic Arkansas LLC CurrentSince Aug 1, 2019 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Aug 1, 2019 Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Compliance & Screening Services CSS PastSince Sep 28, 2021 Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients

Locations

2280 E Main St
El Dorado, AR 71730
Phone (870) 444-5216

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

Interoperability endpoints

  • Direct secure messaging: kasey.mcclain.1@15024.direct.athenahealth.com

Organizations & group practices 12

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 1

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1861925331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4172 S JACKSON AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717302028",
            "telephone_number": "870-818-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 E MAIN ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "71730",
            "telephone_number": "870-444-5216",
            "fax_number": "870-895-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "KASEY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221076758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.