KELLY L MADIA ARNP
NPI 1336503457
Nurse Practitioner - Gerontology in Rogers, AR

Q: What is Kelly Madia's NPI number?

The NPI number for Kelly Madia is 1336503457. It was assigned to this individual provider in the NPPES registry on April 6, 2016. The provider is also known as Kelly L Gilbert Arnp.

Q: What is Kelly Madia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Madia was last updated on February 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 06, 2016PECOS Enrolled

2710 S RIFE MEDICAL LN, ROGERS, AR 72758(479) 636-0200(479) 986-3448 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 13, 2023, Feb 8, 2019, May 11, 2017 (3 updates tracked since 2017).

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About Kelly L Madia Arnp NPPES

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

KELLY L MADIA ARNP (NPI 1336503457) is an individual gerontology provider in Rogers, Arkansas, licensed in Arkansas (A004821) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1336503457

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameKELLY L MADIACredential: ARNP

Location Address2710 S RIFE MEDICAL LNRogers, AR 72758-1452

Mailing Address2710 S Rife Medical LnRogers, AR 72758-1452 · (479) 636-0200 · Fax (479) 986-3448

Phone(479) 636-0200

Fax(479) 986-3448

Sole ProprietorNo

Enumeration DateApril 6, 2016

Last NPPES UpdateFebruary 13, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2023

✔ NPI 1336503457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

Licenses✔ Licensed in AR · A004821✔ Licensed in WA · AP60910189

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP60910189 (WA)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License AP60910189 (WA)

2710 S RIFE MEDICAL LN, Rogers, AR 72758

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Other Names 1

Former Name (1)Kelly L Gilbert Arnp

Secondary Practice Location 1

Location 11959 NE Pacific StSeattle, WA 98195-4007 · Phone (206) 520-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly L Madia Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72758 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.

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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.

ALYSSA MICHELLE ADAIR DNAP, CRNA

Nurse Anesthetist, Certified Registered