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

NPI Status: Active since April 06, 2016

Contact Information

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758
Phone: (479) 636-0200
Fax: (479) 986-3448

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  • Individual
  • Female
  • Nurse Practitioner
  • Gerontology
  • Accepts Insurance
  • PECOS Enrolled

About KELLY MADIA

This page provides the complete NPI Profile along with additional information for Kelly Madia, a provider established in Rogers, Arkansas with a medical specialization in Nurse Practitioner, focusing in gerontology . The healthcare provider is registered in the NPI registry with number 1336503457 assigned on April 2016. The practitioner's primary taxonomy code is 363LG0600X with license number A004821 (AR). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1336503457
Provider Name
KELLY L MADIA ARNP
Other Name
KELLY L GILBERT ARNP
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
2710 S RIFE MEDICAL LN ROGERS, AR 72758
Location Phone
(479) 636-0200
Location Fax
(479) 986-3448
Mailing Address
2710 S RIFE MEDICAL LN ROGERS, AR 72758
Mailing Phone
(479) 636-0200
Mailing Fax
(479) 986-3448
Is Sole Proprietor?
No
Enumeration Date
04-06-2016
Last Update Date
02-13-2023
Code Navigator

A nurse practitioner (NP) like Kelly Madia 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

  • 1959 NE Pacific St
    Seattle, WA 98195
    (206) 520-5000

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 Gerontology

Taxonomy Code
363LG0600X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
A004821
License State
AR

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

AP60910189 (WA)
2363LA2100XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Acute Care

AP60910189 (WA)
3363LG0600XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Gerontology

AP60910189 (WA)

Insurance Plans Accepted

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

  • Bronze Exp Standardized - PPO
  • Bronze Value - PPO
  • Gold Standardized - PPO
  • Silver AH - PPO
  • Silver Standardized - PPO
  • Silver Value - PPO
  • Dental Gold - PPO
  • Dental Gold Plus Vision - PPO
  • Dental Pediatric - PPO
  • Dental Platinum - PPO
  • Dental Platinum Plus Vision - PPO
  • Dental Platinum Premium - PPO
  • Dental Platinum Premium Plus Vision - PPO
  • Dental Silver - PPO
  • HA Bronze Exp Standardized - POS
  • HA Bronze Suitcase - POS
  • HA Gold Standardized - POS
  • HA Silver AH - POS
  • HA Silver Premier Suitcase - POS
  • HA Silver Standardized - POS
  • Octave Bronze Exp Standardized - POS
  • Octave Bronze Value - POS
  • Octave Gold Standardized - POS
  • Octave Silver AH - POS
  • Octave Silver Classic Suitcase - POS
  • Octave Silver Standardized - POS

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

Medicare Participation & PECOS Enrollment Status

Kelly Madia 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) 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: Yes

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

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 74 times for 50 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 49 times for 41 patients

Evaluation of implantable heart and blood vessel monitoring system

An evaluation of an implantable heart and blood vessel monitoring system involves checking the device that's placed inside your body to monitor your heart and blood vessels' health. It helps doctors track your heart rate, rhythm, and blood flow, aiding in prompt, accurate treatment.

This service was performed 16 times for 13 patients

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 72758 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.

Reviews for KELLY L MADIA ARNP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336503457
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23661006410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 0 + 0 + 6 + 4 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1336503457 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

DR. WENDY S. DAVID M.D.

Hospitalist

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758

(479) 338-8000

MERCY HOSPITAL SPRINGFIELD

Ambulance

(Air Transport)

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758

(479) 338-2800

AARON FRANCIS WOODWARD M.D.

Radiology

(Diagnostic Radiology)

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758

(479) 338-8000

ANDREW GORDON WEST M.D.

Radiology

(Diagnostic Radiology)

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758

(479) 338-8000

MRS. KIMBERLY MCDONALD THORNTON M.D.

Pediatrics

(Neonatal-Perinatal Medicine)

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758

(479) 338-8000

BRANDI DAWN WATSON APRN

Nurse Practitioner

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758

(479) 338-8000

DR. SAMEERA HAZNATH AZAD MD

Hospitalist

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758

(479) 338-8000

DR. LUKE HALL SMITH M.D.

Internal Medicine

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758

(479) 751-5711

MEGAN M. WESTLAKE CRNA

Nurse Anesthetist, Certified Registered

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758

(479) 338-0200

MELANIE A REED CRNA

Nurse Anesthetist, Certified Registered

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758

(479) 338-0200

DR. DAWN HAWKINS M.D.

Emergency Medicine

2710 S RIFE MEDICAL LN
DEPARTMENT OF EMERGENCY MEDICINE
ROGERS, AR
ZIP 72758

(479) 338-8000

DR. ANGEL R. CESTERO RUIZ MD

Hospitalist

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758

(479) 338-8000

WILBUR T PEER JR. M.D.

Internal Medicine

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758

(479) 338-8000

MANIKANDAN RAJAGOPAL M.D.

Hospitalist

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758

(479) 338-8000

THERESA J. ASHLEY APN, NNP-BC

Nurse Practitioner

(Neonatal, Critical Care)

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758

(479) 338-8000

WILLIAM SKINNER PT

Physical Therapist

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758

(479) 338-3220

ALYSSA JO WEBSTER APRN

Nurse Practitioner

(Family)

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758

(479) 338-8000

RENE E DIAMOND DO

Internal Medicine

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758

(479) 338-8000

JOHN CHARLES ANTUNA D.O.

Family Medicine

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758

(479) 338-8000

ELIZABETH HERNANDEZ

Health Educator

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758

(479) 338-3486

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336503457, enumerated as an "individual" on April 06, 2016.

The provider is located at 2710 S RIFE MEDICAL LN ROGERS, AR 72758 and the phone number is (479) 636-0200.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, Health. Please consult your insurance carrier or call the provider to verify.