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KATHRYN RAE DUTTON DNP, AGACNP
NPI 1174017917
Nurse Practitioner - Acute Care in Malvern, AR

Active since June 15, 2018PECOS EnrolledAccepts Medicare Assignment
2223 GRANT ST, MALVERN, AR 72104(501) 337-9031(479) 339-8890 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2026, Sep 20, 2018, Aug 8, 2018 and 1 more (4 updates tracked since 2018).

About Kathryn Rae Dutton Dnp, Agacnp NPPES

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

KATHRYN RAE DUTTON DNP, AGACNP (NPI 1174017917) is an individual acute care provider in Malvern, Arkansas, licensed in Arkansas (A005837) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1174017917
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKATHRYN RAE DUTTONCredential: DNP, AGACNP
Location Address2223 GRANT STMalvern, AR 72104-4700
Mailing Address223 Grant StMalvern, AR 72104-4700 · (479) 783-4672 · Fax (479) 339-8890
Phone(501) 337-9031
Fax(479) 339-8890
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 15, 2018
Last NPPES UpdateApril 23, 20264 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1174017917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AR · A005837
2223 GRANT ST, Malvern, AR 72104
Open in Google Maps ↗

Other Names 1

Former Name (1)Kathryn Fisher

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

Kathryn Rae Dutton Dnp, Agacnp 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 ID7911251772
PECOS Enrollment IDI20181114000209
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 Kathryn Dutton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Appello Health And Wellness Clinic, LLC
Same address
Rural Health
2223 GRANT ST
Malvern, AR 72104
  • Reassigned Medicare billing, Arkansas enrollment
  • 98 clinicians in this Medicare group
NPI 1215773262 (501) 337-9031
Mercy Health Northwest Arkansas Communities
156 mi
Hospitalist
2710 RIFE MEDICAL LN
Rogers, AR 72758
  • Reassigned Medicare billing, Arkansas enrollment
  • 182 clinicians in this Medicare group
NPI 1699076737 (479) 338-8000

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 72104 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 10

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

MRS. DEBRA WADE APRN
Nurse Practitioner (Psychiatric/Mental Health)
2223 GRANT ST
MALVERN, AR 72104
Hot Spring County (501) 337-9031
APPELLO HEALTH AND WELLNESS CLINIC, LLC
Clinic/Center (Rural Health)
2223 GRANT ST
MALVERN, AR 72104
Hot Spring County (501) 337-9031
DIRECT MD, LLC
Family Medicine
2223 GRANT ST
MALVERN, AR 72104
Hot Spring County (501) 337-9031
MIKAYLA ANDERSON APRN
Nurse Practitioner (Family)
2223 GRANT ST
MALVERN, AR 72104
Hot Spring County (501) 615-7593
DYLAN PAUL THAXTON M.D.
Family Medicine
2223 GRANT ST
MALVERN, AR 72104
Hot Spring County (501) 337-9031
FAITH ALEXANDRIA HONECK PA-C
Physician Assistant (Medical)
2223 GRANT ST
MALVERN, AR 72104
Hot Spring County (501) 337-9031
MICHELLE JONES N.P.
Nurse Practitioner (Family)
2223 GRANT ST
MALVERN, AR 72104
Hot Spring County (870) 761-6770
SARAH LOWTHARP APRN
Clinical Nurse Specialist (Adult Health)
2223 GRANT ST
MALVERN, AR 72104
Hot Spring County (501) 337-9031

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 Kathryn Dutton's NPI number?

The NPI number for Kathryn Dutton is 1174017917. It was assigned to this individual provider in the NPPES registry on June 15, 2018. The provider is also known as Kathryn Fisher.

Where is Kathryn Dutton located?

Kathryn Dutton practices at 2223 Grant St, Malvern, AR 72104. The listed phone number is (501) 337-9031.

What is Kathryn Dutton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kathryn Dutton enrolled in Medicare?

Yes. Kathryn Dutton 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 Kathryn Dutton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Dutton reassigns Medicare benefits to 2 organizations: Appello Health And Wellness Clinic, LLC (Malvern, AR) and Mercy Health Northwest Arkansas Communities (Rogers, 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 Kathryn Dutton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathryn Dutton was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.