MS. MARYALICE KELLY APN
NPI 1326071283
Nurse Practitioner in Fayetteville, AR

NPI Status: Active since July 07, 2006

Contact Information

1125 N COLLEGE AVE
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 713-8000
Fax: (479) 443-3903

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  • Individual
  • Female
  • Nurse Practitioner
  • PECOS Enrolled

About MARYALICE KELLY

This page provides the complete NPI Profile along with additional information for Maryalice Kelly, a provider established in Fayetteville, Arkansas with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1326071283 assigned on July 2006. The practitioner's primary taxonomy code is 363L00000X with license number A001933 (AR). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1326071283
Provider Name
MS. MARYALICE KELLY APN
Gender
Female
Entity Type
Individual
Location Address
1125 N COLLEGE AVE FAYETTEVILLE, AR 72703
Location Phone
(479) 713-8000
Location Fax
(479) 443-3903
Mailing Address
PO BOX 251420 LITTLE ROCK, AR 72225
Mailing Phone
(501) 686-8000
Mailing Fax
(479) 443-3903
Is Sole Proprietor?
No
Enumeration Date
07-07-2006
Last Update Date
04-07-2023
Code Navigator

A nurse practitioner (NP) like Maryalice Kelly is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 2422 N Thompson St
    Springdale, AR 72764
    (479) 750-6566

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
A001933
License State
AR
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
182728758MEDICAID (05)AR 

Medicare Participation & PECOS Enrollment Status

Maryalice Kelly is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 72703 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $79.72
  • Minimum New Patient Price $51.36
  • Maximum New Patient Price $157.74
  • Average New Patient Copayment $19.93
  • Minimum New Patient Copayment $12.84
  • Maximum New Patient Copayment $39.43

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $91.63
  • Minimum Established Patient Price $16.16
  • Maximum Established Patient Price $128.77
  • Average Established Patient Copayment $22.9
  • Minimum Established Patient Copayment $4.04
  • Maximum Established Patient Copayment $32.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1326071283, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
2
Doubled → 4
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 4 + 6 + 0 + 7 + 2 + 2 + 1 + 6 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1326071283.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Family Medicine
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Nurse Practitioner
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Occupational Therapist
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Speech-Language Pathologist
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Orthopaedic Surgery
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Family Medicine
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
General Acute Care Hospital
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Internal Medicine
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Orthopaedic Surgery
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Physical Therapist
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Occupational Therapist
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Occupational Therapist
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Speech-Language Pathologist
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Student in an Organized Health Care Education/Training Program
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Family Medicine
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Family Medicine
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Family Medicine
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326071283, enumerated as an "individual" on July 07, 2006.

The provider is located at 1125 N COLLEGE AVE FAYETTEVILLE, AR 72703 and the phone number is (479) 713-8000.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.