MRS. SALLY DEE PUCKETT APRN
NPI 1225408057
Nurse Practitioner - Pediatrics in Little Rock, AR
About Mrs. Sally Dee Puckett Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SALLY DEE PUCKETT APRN (NPI 1225408057) is an individual pediatrics provider in Little Rock, Arkansas, licensed in Arkansas (A004531) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Sally Dee Puckett Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Sally Puckett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72202
- Reassigned Medicare billing, Arkansas enrollment
- 944 clinicians in this Medicare group
Little Rock, AR 72202
- Reassigned Medicare billing, Arkansas enrollment
- Medicare enrollment name: Arkansas Childrens Medical Group PLLC
- 36 clinicians in this Medicare group
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 72202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LITTLE ROCK, AR 72202
LITTLE ROCK, AR 72202
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 Sally Puckett's NPI number?
The NPI number for Sally Puckett is 1225408057. It was assigned to this individual provider in the NPPES registry on October 6, 2015.
Where is Sally Puckett located?
Sally Puckett practices at 1 Childrens Way, Little Rock, AR 72202. The listed phone number is (501) 364-1977.
What is Sally Puckett's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Sally Puckett enrolled in Medicare?
Yes. Sally Puckett is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Sally Puckett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sally Puckett reassigns Medicare benefits to 2 organizations: Arkansas Childrens Hospital (Little Rock, AR) and Arkansas Children's Medical Group PLLC (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 Sally Puckett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sally Puckett 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 Sally Puckett 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 Sally Puckett was last updated on November 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mrs. Sally Dee Puckett, APRN · NPI 1225408057
Pediatrics physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since October 6, 2015.
## Identity
- **NPI:** 1225408057 (Entity type: Individual)
- **Enumerated:** October 6, 2015
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** A004531 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 CHILDRENS WAY, Little Rock, AR 72202-3500
- **Phone:** (501) 364-1977
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Arkansas Childrens Hospital (NPI 1598773079, Little Rock, AR); Arkansas Children's Medical Group PLLC (NPI 1396274841, Little Rock, AR) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1225408057) · Data from the CMS NPPES public registry.