KELLI LEANN STATLER LCSW
NPI 1023288826
Social Worker - Clinical in Jonesboro, AR
About Kelli Leann Statler Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLI LEANN STATLER LCSW (NPI 1023288826) is an individual clinical provider in Jonesboro, Arkansas, licensed in Arkansas (1462-C) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelli Leann Statler Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Kelli Statler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jonesboro, AR 72401
- Reassigned Medicare billing, Arkansas enrollment
- 43 clinicians in this Medicare group
Jonesboro, AR 72401
- Reassigned Medicare billing, Arkansas enrollment
- 79 clinicians in this Medicare group
Manila, AR 72442
- Reassigned Medicare billing, Arkansas enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelli Statler's NPI number?
The NPI number for Kelli Statler is 1023288826. It was assigned to this individual provider in the NPPES registry on March 7, 2008.
Where is Kelli Statler located?
Kelli Statler practices at 2707 Browns Ln, Jonesboro, AR 72401. The listed phone number is (870) 972-4939.
What is Kelli Statler's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kelli Statler enrolled in Medicare?
Yes. Kelli Statler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kelli Statler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Statler reassigns Medicare benefits to 3 organizations: Northeast Arkansas Community Mental Health Center Inc (Jonesboro, AR), St. Bernards Hospital, Inc (Jonesboro, AR) and Delta Behavioral Health, LLC (Manila, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelli Statler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelli Statler accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Kelli Statler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelli Statler was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kelli Leann Statler, LCSW · NPI 1023288826
Clinical provider in Jonesboro, Arkansas. Individual provider, active in the CMS NPPES registry since March 7, 2008.
## Identity
- **NPI:** 1023288826 (Entity type: Individual)
- **Enumerated:** March 7, 2008
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 1462-C (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2707 BROWNS LN, Jonesboro, AR 72401
- **Phone:** (870) 972-4939 · **Fax:** (870) 972-4911
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Northeast Arkansas Community Mental Health Center Inc (NPI 1194390476, Jonesboro, AR); St. Bernards Hospital, Inc (NPI 1518327287, Jonesboro, AR); Delta Behavioral Health, LLC (NPI 1720637085, Manila, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** August 14, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1023288826) · Data from the CMS NPPES public registry.