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

Active since April 21, 2006PECOS Enrolled
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: October 18, 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.

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
Phone(870) 543-2380
Fax(870) 535-4716
Sole ProprietorNo
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
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Other Identifiers 5

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manuel R Kelley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Manuel Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jefferson Comprehensive Care System, Inc
Same address
Federally Qualified Health Center (FQHC)
1101 TENNESSEE ST
Pine Bluff, AR 71601
  • Reassigned Medicare billing, Arkansas enrollment
  • 22 clinicians in this Medicare group
NPI 1154386597 (870) 543-2380

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 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.

JEFFERSON COMPREHENSIVE CARE SYSTEM INC
Dentist
1101 TENNESSEE ST
PINE BLUFF, AR 71601
Jefferson County (870) 543-2341
JEFFERSON COMPREHENSIVE CARE SYSTEM, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1101 TENNESSEE ST
PINE BLUFF, AR 71601
Jefferson County (870) 543-2380
MARGARET ANN WASHINGTON A.N.P.
Family Medicine
1101 TENNESSEE ST
PINE BLUFF, AR 71601
Jefferson County (870) 543-2380
JEFFERSON COMPREHENSIVE CARE SYSTEM INC
Clinic/Center (Multi-Specialty)
1101 TENNESSEE ST
PINE BLUFF, AR 71601
Jefferson County (870) 543-2380
ROSE A PACE M.D.
Family Medicine
1101 TENNESSEE ST
PINE BLUFF, AR 71601
Jefferson County (870) 543-2380
ESTELITA M QUIMOSING M.D.
Internal Medicine
1101 TENNESSEE ST
PINE BLUFF, AR 71601
Jefferson County (870) 543-2380

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 enrollment system.

Which organization bills Medicare for Manuel Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manuel Kelley reassigns Medicare benefits to Jefferson Comprehensive Care System, Inc (Pine Bluff, AR). The 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 Manuel Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Manuel Kelley 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 3 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.