MR. KELLY GLENN THOMPSON-DAVIS APRN
NPI 1467043224
Nurse Practitioner - Family in Rogers, AR

Active since February 03, 2021PECOS EnrolledAccepts Medicare Assignment
2000 S 42ND ST STE 100, ROGERS, AR 72758(479) 273-9173 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2024, Nov 6, 2023, Feb 3, 2021 (3 updates tracked since 2021).

About Mr. Kelly Glenn Thompson-davis Aprn NPPES

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

MR. KELLY GLENN THOMPSON-DAVIS APRN (NPI 1467043224) is an individual family provider in Rogers, Arkansas, licensed in Arkansas (214719) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fayetteville, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1467043224
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. KELLY GLENN THOMPSON-DAVISCredential: APRN
Location Address2000 S 42ND ST STE 100Rogers, AR 72758-2001
Mailing Address2000 S 42nd St Ste 100Rogers, AR 72758-2001 · (479) 273-9173
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 3, 2021
Last NPPES UpdateAugust 1, 20253 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
NPI 1467043224 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 · 214719
2000 S 42ND ST STE 100, Rogers, AR 72758

Secondary Practice Location 1

Location 14253 N Crossover RdFayetteville, AR 72703-4593 · Phone (877) 884-0641

Accepted 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

Mr. Kelly Glenn Thompson-davis Aprn 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 ID8123434651
PECOS Enrollment IDI20210309000884
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 4

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.

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.
60 services31 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.
60 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
55 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients

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 2

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

Family Medicine
2000 S 42ND ST STE 100
ROGERS, AR 72758
Nurse Practitioner (Family)
2000 S 42ND ST STE 100
ROGERS, AR 72758

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 Thompson-davis's NPI number?

The NPI number for Kelly Thompson-davis is 1467043224. It was assigned to this individual provider in the NPPES registry on February 3, 2021.

Where is Kelly Thompson-davis located?

Kelly Thompson-davis practices at 2000 S 42nd St Ste 100, Rogers, AR 72758. The listed phone number is (479) 273-9173.

What is Kelly Thompson-davis's specialty?

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

Is Kelly Thompson-davis enrolled in Medicare?

Yes. Kelly Thompson-davis 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 Thompson-davis 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 5 other insurers list Kelly Thompson-davis 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 Thompson-davis was last updated on August 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.