Kayla Metz, APRN-CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

215185 Issued in AR

Practice address

601 W McKennon St
Clarksville, AR 72830-3523

Phone

(479) 754-8384

Fax

(479) 754-7141

NPI assigned

Apr 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarksville Medical Group, P.a.Group PAC ID 1254405970, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johnson Regional Medical Center Hospital, Clarksville, AR, CCN 040002

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kayla.metz.1@7504.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IEFHAA
• FHIR API: https://api.platform.athenahealth.com/7504/brand/1/csg/1/fhir/r4

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.

• Clarksville Medical Group, P.a.

  • Family Medicine Physician
  • Clarksville, AR
  • NPI 1447253810
  Medicare reassignment Care Compare group NPD
• Clarksville Medical Group, P.a.

  • Clinical Medical Laboratory
  • Clarksville, AR
  • NPI 1417009374
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Johnson Regional Medical Center

  • General Acute Care Hospital
  • Clarksville, AR
  • NPI 1134116049
  Care Compare affiliation

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1891375838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SKYLINE DR",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728308514",
            "telephone_number": "479-857-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W MCKENNON ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303523",
            "telephone_number": "479-754-8384",
            "fax_number": "479-754-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZ",
        "first_name": "KAYLA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "215185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medcom Imaging, Inc.
• Rhonda Medford
• Aimee Mendez, CMP
• Laurie Mendez
• Stephanie Metcalf, APN
• Steven Meyer, PHARM.D
• Melody Mierop, RECOVERY ASSISTANT
• Monica Lynn Miller, MHPP
• Nathan L Miller, RECOVERY ASSISTANT
• Siobhan Ming, CASE MANAGER PARAPRO

• Nurse Practitioner in Clarksville, AR
• Providers in Clarksville, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.