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DR. KORI KAMARIA MANSFIELD MD
NPI 1104387190
Radiology - Pediatric Radiology in Little Rock, AR

Active since March 31, 2019PECOS EnrolledAccepts Medicare Assignment
1 CHILDRENS WAY, LITTLE ROCK, AR 72202(501) 364-2035(501) 364-4082 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 12, 2025, May 28, 2025 (2 updates tracked since 2025).

About Dr. Kori Kamaria Mansfield Md NPPES

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

DR. KORI KAMARIA MANSFIELD MD (NPI 1104387190) is an individual pediatric radiology provider in Little Rock, Arkansas, licensed in Arkansas (E-19252) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Little Rock, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104387190
Entity TypeIndividualFemale
Primary Taxonomy2085P0229X
Provider Legal NameDR. KORI KAMARIA MANSFIELDCredential: MD
Location Address1 CHILDRENS WAYLittle Rock, AR 72202-3500
Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082
Phone(501) 364-2035
Fax(501) 364-4082
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 31, 2019
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1104387190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
License✔ Licensed in AR · E-19252
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License E-19252 (AR)
1 CHILDRENS WAY, Little Rock, AR 72202
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Other Names 1

Former Name (1)Kori Mansfield-harris

Secondary Practice Location 1

Location 14301 W Markham St # 556Little Rock, AR 72205-7101 · Phone (501) 603-1595 · Fax (501) 526-5148

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.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

Dr. Kori Kamaria Mansfield Md 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 ID5496089575
PECOS Enrollment IDI20250618001191
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 Reassignments

2

Medicare enrollment records show Kori Mansfield reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arkansas Childrens Professional Services Organization LLC
Same address
Pediatrics
1 CHILDRENS WAY
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 653 clinicians in this Medicare group
NPI 1629889464 (501) 364-2526
University Of Arkansas For Medical Sciences
0.3 mi
Child & Adolescent Psychiatry
1210 WOLFE ST
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 2,038 clinicians in this Medicare group
NPI 1467528026 (501) 364-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LAUREN SEARCY DNP
Nurse Practitioner
1 CHILDRENS WAY
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
DR. LAURA MICHELLE MCLAUGHLIN MD
Pediatrics (Pediatric Hematology-Oncology)
1 CHILDRENS WAY
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
MRS. TRACY BAIR PATE M.S.
Speech-Language Pathologist
1 CHILDRENS WAY
LITTLE ROCK, AR 72202
Pulaski County (501) 364-6688
ERIN PALADINO OD
Optometrist
1 CHILDRENS WAY
LITTLE ROCK, AR 72202
Pulaski County (501) 441-3453
ELIZABETH WYLLIA
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
LAUREN HENSON APRN
Nurse Practitioner (Family)
1 CHILDRENS WAY
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
DR. HAYDEN MILLER MATHEWS MD
Student in an Organized Health Care Education/Training Program
1 CHILDRENS WAY
LITTLE ROCK, AR 72202
Pulaski County (501) 364-5115
MEGAN NICOLE BUSH BABER D.O
Pediatrics
1 CHILDRENS WAY, SLOT ACH 512-19A
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100

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 Kori Mansfield's NPI number?

The NPI number for Kori Mansfield is 1104387190. It was assigned to this individual provider in the NPPES registry on March 31, 2019. The provider is also known as Kori Mansfield-Harris.

Where is Kori Mansfield located?

Kori Mansfield practices at 1 Childrens Way, Little Rock, AR 72202. The listed phone number is (501) 364-2035.

What is Kori Mansfield's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Kori Mansfield enrolled in Medicare?

Yes. Kori Mansfield 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 Kori Mansfield's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kori Mansfield reassigns Medicare benefits to 2 organizations: Arkansas Childrens Professional Services Organization LLC (Little Rock, AR) and University Of Arkansas For Medical Sciences (Little Rock, 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 Kori Mansfield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kori Mansfield accept?

Health plans from Health Advantage and Octave list Kori Mansfield 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 Kori Mansfield was last updated on June 12, 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.