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KELLY MARIE RICHARDSON APN
NPI 1366331639
Nurse Practitioner - Family in Little Rock, AR

Active since July 01, 2025PECOS EnrolledAccepts Medicare Assignment
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204(501) 500-3500(501) 904-3620 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 26, 2026, Jul 1, 2025 (2 updates tracked since 2025).

About Kelly Marie Richardson Apn NPPES

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

KELLY MARIE RICHARDSON APN (NPI 1366331639) is an individual family provider in Little Rock, Arkansas, licensed in Arkansas (234008) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1366331639
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY MARIE RICHARDSONCredential: APN
Location Address800 FAIR PARK BLVDLittle Rock, AR 72204-1720
Mailing Address800 Fair Park BlvdLittle Rock, AR 72204-1720 · (501) 404-8007 · Fax (501) 904-3620
Phone(501) 500-3500
Fax(501) 904-3620
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 1, 2025
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1366331639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AR · 234008
800 FAIR PARK BLVD, Little Rock, AR 72204
Open in Google Maps ↗

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 and accepts Medicare assignment

Kelly Marie Richardson Apn 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 ID1557860210
PECOS Enrollment IDI20250819002556
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 72204 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.

DR. KIRK ALLEN REYNOLDS M.D.
Orthopaedic Surgery (Sports Medicine)
800 FAIR PARK BLVD
LITTLE ROCK, AR 72204
Pulaski County (501) 500-3500
MICHAEL M HUSSEY MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
800 FAIR PARK BLVD
LITTLE ROCK, AR 72204
Pulaski County (501) 663-3647
DR. ETHAN J SCHOCK M.D.
Orthopaedic Surgery (Sports Medicine)
800 FAIR PARK BLVD
LITTLE ROCK, AR 72204
Pulaski County (501) 663-3647
LAUREN ABIGAIL RAINWATER PA-C
Physician Assistant (Medical)
800 FAIR PARK BLVD
LITTLE ROCK, AR 72204
Pulaski County (501) 500-3500
STACIA CARROLL DPT
Physical Therapist
800 FAIR PARK BLVD
LITTLE ROCK, AR 72204
Pulaski County (501) 404-8007
LYNN SARDINHA FNP-BC
Nurse Practitioner (Family)
800 FAIR PARK BLVD
LITTLE ROCK, AR 72204
Pulaski County (501) 500-3500
DR. JAY M LIPKE M.D.
Orthopaedic Surgery
800 FAIR PARK BLVD
LITTLE ROCK, AR 72204
Pulaski County (501) 604-6900
MRS. HANNAH NAGY SMITH
Nurse Practitioner (Family)
800 FAIR PARK BLVD
LITTLE ROCK, AR 72204
Pulaski County (501) 404-8007

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 Richardson's NPI number?

The NPI number for Kelly Richardson is 1366331639. It was assigned to this individual provider in the NPPES registry on July 1, 2025.

Where is Kelly Richardson located?

Kelly Richardson practices at 800 Fair Park Blvd, Little Rock, AR 72204. The listed phone number is (501) 500-3500.

What is Kelly Richardson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Richardson enrolled in Medicare?

Yes. Kelly Richardson 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 Kelly Richardson accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Kelly Richardson 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 Richardson was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.