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KELLIE ANN CHACANACA APRN
NPI 1487004461
Nurse Practitioner - Family in Rogers, AR

Active since June 21, 2016PECOS EnrolledAccepts Medicare Assignment
2708 S RIFE MEDICAL LN STE 300, ROGERS, AR 72758(479) 338-3030(479) 338-3079 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 2, 2026, Mar 12, 2025, Aug 30, 2023 and 5 more (8 updates tracked since 2016).

About Kellie Ann Chacanaca Aprn NPPES

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

KELLIE ANN CHACANACA APRN (NPI 1487004461) is an individual family provider in Rogers, Arkansas, licensed in Arkansas (A004753) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Springdale, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1487004461
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLIE ANN CHACANACACredential: APRN
Location Address2708 S RIFE MEDICAL LN STE 300Rogers, AR 72758-1457
Mailing Address2708 S Rife Medical Ln Ste 300Rogers, AR 72758-1457 · (479) 338-3030 · Fax (479) 338-3079
Phone(479) 338-3030
Fax(479) 338-3079
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 21, 2016
Last NPPES UpdateJune 2, 20268 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1487004461 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 · A004753
2708 S RIFE MEDICAL LN STE 300, Rogers, AR 72758
Open in Google Maps ↗

Secondary Practice Location 1

Location 13623 Johnson Mill Blvd Ste 101Springdale, AR 72762-6412 · Phone (479) 575-9359

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

Kellie Ann Chacanaca 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 ID4385939206
PECOS Enrollment IDI20160817000185
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 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 5

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

LAUREN ELIZABETH NUESKE FNP
Nurse Practitioner (Family)
2708 S RIFE MEDICAL LN STE 300
ROGERS, AR 72758
Benton County (479) 338-3030
PAIGE LAUREN DAVIS DNP
Nurse Practitioner (Acute Care)
2708 S RIFE MEDICAL LN STE 300
ROGERS, AR 72758
Benton County (479) 338-3030
DR. ASAD IQBAL MEHBOOB D.O.
Internal Medicine (Gastroenterology)
2708 S RIFE MEDICAL LN STE 300
ROGERS, AR 72758
Benton County (479) 338-3030
DR. VIJAY BHASKAR REDDY GAYAM M.D.
Internal Medicine (Gastroenterology)
2708 S RIFE MEDICAL LN STE 300
ROGERS, AR 72758
Benton County (479) 338-3030
ANDREA KAYLAN CHAFFIN
Nurse Practitioner (Family)
2708 S RIFE MEDICAL LN STE 300
ROGERS, AR 72758
Benton County (479) 338-3030

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 Kellie Chacanaca's NPI number?

The NPI number for Kellie Chacanaca is 1487004461. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Kellie Chacanaca located?

Kellie Chacanaca practices at 2708 S Rife Medical Ln Ste 300, Rogers, AR 72758. The listed phone number is (479) 338-3030.

What is Kellie Chacanaca's specialty?

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

Is Kellie Chacanaca enrolled in Medicare?

Yes. Kellie Chacanaca 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 Kellie Chacanaca accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Kellie Chacanaca 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 Kellie Chacanaca was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.