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KASILYNN ALESE SHADDY
NPI 1144836909
Nurse Practitioner in Springdale, AR

Active since September 17, 2020PECOS EnrolledAccepts Medicare Assignment
3300 W SUNSET AVE, SPRINGDALE, AR 72762(479) 717-7089 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kasilynn Alese Shaddy NPPES

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

KASILYNN ALESE SHADDY (NPI 1144836909) is an individual nurse practitioner in Springdale, Arkansas, licensed in Arkansas (125710) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1144836909
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKASILYNN ALESE SHADDY
Location Address3300 W SUNSET AVESpringdale, AR 72762-4950
Mailing Address3300 W Sunset AveSpringdale, AR 72762-4950
Phone(479) 717-7089
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 17, 2020
NPPES CertifiedSeptember 17, 2020
✔ NPI 1144836909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AR · 125710
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3300 W SUNSET AVE, Springdale, AR 72762
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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 and accepts Medicare assignment

Kasilynn Alese Shaddy 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 ID2466872031
PECOS Enrollment IDI20201020002442
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

3

Medicare enrollment records show Kasilynn Shaddy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Karas Family Walk In Clinic
9.9 mi
Primary Care
767 W NORTH ST
Fayetteville, AR 72701
  • Reassigned Medicare billing, Arkansas enrollment
  • 26 clinicians in this Medicare group
NPI 1134542434 (479) 966-5088
Premier Family Health Care LLC
19 mi
Primary Care
310 N PROGRESS AVE
Siloam Springs, AR 72761
  • Reassigned Medicare billing, Arkansas enrollment
  • 9 clinicians in this Medicare group
NPI 1558102228 (479) 225-5429
Urgent Team Of Arkansas Physicians, LLC
151 mi
Rural Health
610 SHEPHERD DR
Searcy, AR 72143
  • Reassigned Medicare billing, Arkansas enrollment
  • 208 clinicians in this Medicare group
NPI 1992041370 (501) 268-6831

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
53 services45 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services30 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
22 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72762 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.

Other Providers at the Same Location NPPES 2

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

ANA CECILIA SALAZAR
Nurse Practitioner (Family)
3300 W SUNSET AVE
SPRINGDALE, AR 72762
Washington County (479) 717-7089
CHRISTI MARIE TURNAGE APRN
Nurse Practitioner (Family)
3300 W SUNSET AVE
SPRINGDALE, AR 72762
Washington County (479) 717-7089

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 Kasilynn Shaddy's NPI number?

The NPI number for Kasilynn Shaddy is 1144836909. It was assigned to this individual provider in the NPPES registry on September 17, 2020.

Where is Kasilynn Shaddy located?

Kasilynn Shaddy practices at 3300 W Sunset Ave, Springdale, AR 72762. The listed phone number is (479) 717-7089.

What is Kasilynn Shaddy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kasilynn Shaddy enrolled in Medicare?

Yes. Kasilynn Shaddy 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 Kasilynn Shaddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kasilynn Shaddy reassigns Medicare benefits to 3 organizations: Karas Family Walk In Clinic (Fayetteville, AR), Premier Family Health Care LLC (Siloam Springs, AR) and Urgent Team Of Arkansas Physicians, LLC (Searcy, 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 Kasilynn Shaddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kasilynn Shaddy 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 1 other insurer list Kasilynn Shaddy 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 Kasilynn Shaddy was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.