MS. KIMBERLY DESHAN DANIELS APRN
NPI 1184074197
Nurse Practitioner - Family in Jonesboro, AR

Active since June 21, 2016PECOS EnrolledAccepts Medicare Assignment
1007 E MATTHEWS AVE, JONESBORO, AR 72401(870) 336-0472(870) 336-5320 Get Directions Write a Review

NPPES record last updated: June 21, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Kimberly Deshan Daniels Aprn NPPES

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

MS. KIMBERLY DESHAN DANIELS APRN (NPI 1184074197) is an individual family provider in Jonesboro, Arkansas, licensed in Arkansas (A004782) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1184074197
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KIMBERLY DESHAN DANIELSCredential: APRN
Location Address1007 E MATTHEWS AVEJonesboro, AR 72401-4308
Mailing Address300 Carson StJonesboro, AR 72401-3104 · (870) 932-1198 · Fax (870) 910-7715
Fax(870) 336-5320
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 21, 2016
NPI 1184074197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AR · A004782
1007 E MATTHEWS AVE, Jonesboro, AR 72401

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

Ms. Kimberly Deshan Daniels Aprn 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 ID8820382104
PECOS Enrollment IDI20160809002282
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
309 services216 patients
New patient office or other outpatient visit, 15-29 minutes 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72401 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 6

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

Durable Medical Equipment & Medical Supplies
1007 E MATTHEWS AVE
JONESBORO, AR 72401
Orthopaedic Surgery
1007 E MATTHEWS AVE
JONESBORO, AR 72401
Nurse Practitioner (Family)
1007 E MATTHEWS AVE
JONESBORO, AR 72401
Orthopaedic Surgery
1007 E MATTHEWS AVE
JONESBORO, AR 72401
Nurse Practitioner (Family)
1007 E MATTHEWS AVE
JONESBORO, AR 72401
Nurse Practitioner (Family)
1007 E MATTHEWS AVE
JONESBORO, AR 72401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184074197, enumerated as an "individual" on June 21, 2016.

The provider is located at 1007 E MATTHEWS AVE JONESBORO, AR 72401 and the phone number is (870) 336-0472.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.