MANUEL R KELLEY M.D.
NPI 1083670830
Family Medicine in Pine Bluff, AR

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
1101 TENNESSEE ST, PINE BLUFF, AR 71601(870) 543-2380(870) 535-4716 Get Directions Write a Review

NPPES record last updated: September 29, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Manuel R Kelley M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANUEL R KELLEY M.D. (NPI 1083670830) is an individual family medicine provider in Pine Bluff, Arkansas, licensed in Arkansas (C-5328) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (1976).

NPPES Registry Identity

NPI1083670830
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMANUEL R KELLEYCredential: M.D.
Location Address1101 TENNESSEE STPine Bluff, AR 71601-5801
Mailing AddressPo Box 1285Pine Bluff, AR 71613-1285 · (870) 543-2380 · Fax (870) 535-4716
Fax(870) 535-4716
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1976
Enumeration DateApril 21, 2006
Last NPPES UpdateSeptember 29, 2010
NPI 1083670830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AR · C-5328
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1101 TENNESSEE ST, Pine Bluff, AR 71601

Other Identifiers 5

Other0120403AR · United Health Care
Other1159400000AR · Qual Choice
Other52821AR · Medicare
Medicaid103173001AR
OtherC68619AR · Upin

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Manuel R Kelley M.d. 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.

PECOS PAC ID1951338581
PECOS Enrollment IDI20050725001216
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims30 services$5.18 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims14 services$0.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1101 TENNESSEE ST
PINE BLUFF, AR 71601
Clinic/Center (Federally Qualified Health Center (FQHC))
1101 TENNESSEE ST
PINE BLUFF, AR 71601
Family Medicine
1101 TENNESSEE ST
PINE BLUFF, AR 71601
Clinic/Center (Multi-Specialty)
1101 TENNESSEE ST
PINE BLUFF, AR 71601
Family Medicine
1101 TENNESSEE ST
PINE BLUFF, AR 71601
Internal Medicine
1101 TENNESSEE ST
PINE BLUFF, AR 71601

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 Manuel Kelley's NPI number?

The NPI number for Manuel Kelley is 1083670830. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Manuel Kelley located?

Manuel Kelley practices at 1101 Tennessee St, Pine Bluff, AR 71601. The listed phone number is (870) 543-2380.

What is Manuel Kelley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Manuel Kelley enrolled in Medicare?

Yes. Manuel Kelley 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.

What insurance does Manuel Kelley accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Manuel Kelley 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 Manuel Kelley was last updated on September 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.