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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Mercy Health Northwest Arkansas Communities
Same address
Multi-Specialty
2710 S RIFE MEDICAL LN
Rogers, AR 72758
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1699076737 (Arkansas), NPI 1538460662 (Arkansas)
  • 472 clinicians in this Medicare group
NPI 1265490916 (479) 338-8000

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 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.

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
2710 S RIFE MEDICAL LN
ROGERS, AR 72758
Benton County (479) 338-8000
HELEN LEIGHANN HONG
Nurse Anesthetist, Certified Registered
2710 S RIFE MEDICAL LN
ROGERS, AR 72758
Benton County (479) 338-8000
AMANDA MARIE EICHHOLZ PA
Physician Assistant
2710 S RIFE MEDICAL LN
ROGERS, AR 72758
Benton County (479) 381-2694
CHAD SILVEY CRNA
Nurse Anesthetist, Certified Registered
2710 S RIFE MEDICAL LN
ROGERS, AR 72758
Benton County (479) 338-8000
SHAWN HOWELL DO
Hospitalist
2710 S RIFE MEDICAL LN
ROGERS, AR 72758
Benton County (479) 338-8000
MANIKANDAN RAJAGOPAL M.D.
Hospitalist
2710 S RIFE MEDICAL LN
ROGERS, AR 72758
Benton County (479) 338-8000
CINTIA M DOWNING APN
Nurse Practitioner (Acute Care)
2710 S RIFE MEDICAL LN
ROGERS, AR 72758
Benton County (479) 636-0200
TANNER NICHOLS DO
Radiology (Diagnostic Radiology)
2710 S RIFE MEDICAL LN
ROGERS, AR 72758
Benton County (870) 897-5840

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 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.

Where is Kelly Madia located?

Kelly Madia practices at 2710 S Rife Medical Ln, Rogers, AR 72758. The listed phone number is (479) 636-0200.

What is Kelly Madia's specialty?

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

Is Kelly Madia enrolled in Medicare?

Yes. Kelly Madia is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Madia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Madia reassigns Medicare benefits to Mercy Health Northwest Arkansas Communities (Rogers, 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 Kelly Madia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Madia accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Kelly Madia 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 Kelly Madia was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.