KALIE D RATHBUN
NPI 1033906201
Nurse Anesthetist, Certified Registered in Jonesboro, AR
About Kalie D Rathbun NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KALIE D RATHBUN (NPI 1033906201) is an individual nurse anesthetist, certified registered in Jonesboro, Arkansas, licensed in Arkansas (122672) and active in the NPI registry since April 2025. She maintains a secondary practice location in Jonesboro and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Kalie D Rathbun 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
2Medicare enrollment records show Kalie Rathbun reassigns Medicare billing to 2 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
- 83 clinicians in this Medicare group
West Memphis, AR 72301
- Reassigned Medicare billing, Arkansas enrollment
- 81 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JONESBORO, AR 72401
JONESBORO, AR 72401
JONESBORO, AR 72401
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 Kalie Rathbun's NPI number?
The NPI number for Kalie Rathbun is 1033906201. It was assigned to this individual provider in the NPPES registry on April 22, 2025.
Where is Kalie Rathbun located?
Kalie Rathbun practices at 1100 E Matthews Ave, Jonesboro, AR 72401. The listed phone number is (870) 935-8500.
What is Kalie Rathbun's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kalie Rathbun enrolled in Medicare?
Yes. Kalie Rathbun 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 Kalie Rathbun's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kalie Rathbun reassigns Medicare benefits to 2 organizations: Jonesboro Anesthesia Inc (Jonesboro, AR) and Lifelinc Anesthesia V, P.A. (West Memphis, 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 Kalie Rathbun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kalie Rathbun accept?
Health plans from Health Advantage and Octave list Kalie Rathbun 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 Kalie Rathbun was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Kalie D Rathbun · NPI 1033906201
Nurse Anesthetist, Certified Registered physician in Jonesboro, Arkansas. Individual provider, active in the CMS NPPES registry since April 22, 2025.
## Identity
- **NPI:** 1033906201 (Entity type: Individual)
- **Enumerated:** April 22, 2025
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 122672 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1100 E MATTHEWS AVE, Jonesboro, AR 72401-4314
- **Phone:** (870) 935-8500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Jonesboro Anesthesia Inc (NPI 1043228448, Jonesboro, AR); Lifelinc Anesthesia V, P.A. (NPI 1063907244, West Memphis, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033906201) · Data from the CMS NPPES public registry.