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KYLE C SIEROCUK APRN
NPI 1235757816
Nurse Practitioner - Psychiatric/Mental Health in Springdale, AR

Active since July 09, 2020PECOS EnrolledAccepts Medicare Assignment
4700 S THOMPSON ST STE C103, SPRINGDALE, AR 72764(479) 571-6363 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2024, Feb 8, 2024, Feb 25, 2021 and 1 more (4 updates tracked since 2020).

About Kyle C Sierocuk Aprn NPPES

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

KYLE C SIEROCUK APRN (NPI 1235757816) is an individual psychiatric/mental health provider in Springdale, Arkansas, licensed in Arkansas (125894) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1235757816
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKYLE C SIEROCUKCredential: APRN
Location Address4700 S THOMPSON ST STE C103Springdale, AR 72764-2558
Mailing AddressPo Box 1523Fayetteville, AR 72702-1523 · (479) 571-6038 · Fax (479) 582-0222
Phone(479) 571-6363
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 9, 2020
Last NPPES UpdateAugust 14, 20244 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1235757816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AR · 125894
4700 S THOMPSON ST STE C103, Springdale, AR 72764
Open in Google Maps ↗

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

Kyle C Sierocuk 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 ID1658798384
PECOS Enrollment IDI20200826003001
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 Reassignment

Medicare enrollment records show Kyle Sierocuk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Associates Of Northwest Arkansas PA
Same address
Psychiatry
4700 S THOMPSON ST STE C103
Springdale, AR 72764
  • Reassigned Medicare billing, Arkansas enrollment
  • 125 clinicians in this Medicare group
NPI 1538668926 (479) 571-6363

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 72764 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.

MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Counselor (Professional)
4700 S THOMPSON ST STE C103
SPRINGDALE, AR 72764
Washington County (479) 571-6363
AUBRIE D HANSON MD
Psychiatry & Neurology (Psychiatry)
4700 S THOMPSON ST STE C103
SPRINGDALE, AR 72764
Washington County (479) 571-6363
MAYLEE LOFTEN LPC
Counselor (Mental Health)
4700 S THOMPSON ST STE C103
SPRINGDALE, AR 72764
Washington County (479) 571-6363
NICHOLAS W HOPKINS APRN
Nurse Practitioner (Psychiatric/Mental Health)
4700 S THOMPSON ST STE C103
SPRINGDALE, AR 72764
Washington County (479) 571-6363
DR. RANDALL DEAN STALEY JR. MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4700 S THOMPSON ST STE C103
SPRINGDALE, AR 72764
Washington County (479) 571-6363
RYAN EDWARD SYLVESTER LPC, NCC, CCMHC
Counselor (Professional)
4700 S THOMPSON ST STE C103
SPRINGDALE, AR 72764
Washington County (479) 571-6363
MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Psychiatry & Neurology (Psychiatry)
4700 S THOMPSON ST STE C103
SPRINGDALE, AR 72764
Washington County (479) 571-6363
JULIE LYNNE BROOKS APRN
Nurse Practitioner (Psychiatric/Mental Health)
4700 S THOMPSON ST STE C103
SPRINGDALE, AR 72764
Washington County (479) 571-6363

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 Kyle Sierocuk's NPI number?

The NPI number for Kyle Sierocuk is 1235757816. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Kyle Sierocuk located?

Kyle Sierocuk practices at 4700 S Thompson St Ste C103, Springdale, AR 72764. The listed phone number is (479) 571-6363.

What is Kyle Sierocuk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kyle Sierocuk enrolled in Medicare?

Yes. Kyle Sierocuk 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 organization bills Medicare for Kyle Sierocuk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Sierocuk reassigns Medicare benefits to Medical Associates Of Northwest Arkansas PA (Springdale, AR). The 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 Kyle Sierocuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyle Sierocuk 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 4 other insurers list Kyle Sierocuk 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 Kyle Sierocuk was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.