KIERSTIN RENE DAUGHERTY PA-C
NPI 1356937593
Physician Assistant - Surgical in North Little Rock, AR

Q: What is Kierstin Daugherty's NPI number?

The NPI number for Kierstin Daugherty is 1356937593. It was assigned to this individual provider in the NPPES registry on December 11, 2020. The provider is also known as Kierstin Rene Carr.

Q: What is Kierstin Daugherty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since December 11, 2020PECOS EnrolledAccepts Medicare Assignment

5220 NORTHSHORE DR, NORTH LITTLE ROCK, AR 72118(501) 663-6455(501) 663-4877 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2025, Apr 25, 2024, May 16, 2022 and 1 more (4 updates tracked since 2020).

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About Kierstin Rene Daugherty Pa-c NPPES

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

KIERSTIN RENE DAUGHERTY PA-C (NPI 1356937593) is an individual surgical provider in North Little Rock, Arkansas, licensed in (PA14101) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Arkansas College Of Medicine (2020).

NPPES Registry Identity

NPI1356937593

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameKIERSTIN RENE DAUGHERTYCredential: PA-C

Location Address5220 NORTHSHORE DRNorth Little Rock, AR 72118-5297

Mailing Address5220 Northshore DrNorth Little Rock, AR 72118-5297 · (501) 663-6455 · Fax (501) 663-4877

Phone(501) 663-6455

Fax(501) 663-4877

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2020

Enumeration DateDecember 11, 2020

Last NPPES UpdateApril 1, 20254 updates tracked since enumeration

NPPES CertifiedApril 1, 2025

✔ NPI 1356937593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed · PA14101

5220 NORTHSHORE DR, North Little Rock, AR 72118

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Other Names 1

Former Name (1)Kierstin Rene Carr

Secondary Practice Locations 2

Location 13127 W 2nd Ct Ste BRussellville, AR 72801-4566 · Phone (501) 663-6455 · Fax (501) 663-4877

Location 24300 Landers RdNorth Little Rock, AR 72117-2525 · Phone (501) 771-1600 · Fax (501) 955-2252

Other Identifiers 1

Medicaid284103795AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kierstin Rene Daugherty Pa-c 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 ID2769882596

PECOS Enrollment IDI20220523002210

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.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

238 services102 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

190 services148 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

160 services160 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

131 services126 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

127 services125 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

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.

120 services118 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

109 services96 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

85 services85 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

85 services85 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

64 services56 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

46 services42 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

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.

43 services42 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

32 services32 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

28 services27 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

27 services26 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

20 services20 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

12 services12 patients

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACE JONES JENKINS PA-C

Physician Assistant

5220 NORTHSHORE DR
NORTH LITTLE ROCK, AR 72118

Pulaski County (501) 663-6455

DR. JESSE BRIAN BURKS DPM

Podiatrist

5220 NORTHSHORE DR
NORTH LITTLE ROCK, AR 72118

Pulaski County (501) 663-6455

PAUL KENDALL EDWARDS MD

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)

5220 NORTHSHORE DR
LITTLE ROCK, AR 72118

Pulaski County (501) 663-6455

HANNAH ELIZABETH BANNING PA-C

Physician Assistant

5220 NORTHSHORE DR
NORTH LITTLE ROCK, AR 72118

Pulaski County (501) 663-6455

DR. DAVID MICHAEL RHODES MD

Orthopaedic Surgery (Hand Surgery)

5220 NORTHSHORE DR
NORTH LITTLE ROCK, AR 72118

Pulaski County (501) 663-6455

DR. WILLIAM FRANKLIN HEFLEY JR. MD

Orthopaedic Surgery

5220 NORTHSHORE DR
NORTH LITTLE ROCK, AR 72118

Pulaski County (501) 663-6455

MR. MATTHEW WADE THORNTON MSPT

Physical Therapist

5220 NORTHSHORE DR
NORTH LITTLE ROCK, AR 72118

Pulaski County (501) 663-4320

CHRISTIAN CARRINGTON PERRY PA-C

Physician Assistant

5220 NORTHSHORE DR
NORTH LITTLE ROCK, AR 72118

Pulaski County (501) 663-6455

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 Kierstin Daugherty's NPI number?

The NPI number for Kierstin Daugherty is 1356937593. It was assigned to this individual provider in the NPPES registry on December 11, 2020. The provider is also known as Kierstin Rene Carr.

Where is Kierstin Daugherty located?

Kierstin Daugherty practices at 5220 Northshore Dr, North Little Rock, AR 72118. The listed phone number is (501) 663-6455.

What is Kierstin Daugherty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kierstin Daugherty enrolled in Medicare?

Yes. Kierstin Daugherty 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.

What insurance does Kierstin Daugherty accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 6 other insurers list Kierstin Daugherty 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 Kierstin Daugherty was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.