KIMBERLY D STOTTS
NPI 1528837945
Nurse Practitioner - Psychiatric/Mental Health in Jonesboro, AR

Q: What is Kimberly Stotts's NPI number?

The NPI number for Kimberly Stotts is 1528837945. It was assigned to this individual provider in the NPPES registry on December 27, 2023.

Q: What is Kimberly Stotts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Stotts was last updated on December 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 27, 2023PECOS EnrolledAccepts Medicare Assignment

1150 E MATTHEWS AVE STE 101A, JONESBORO, AR 72401(870) 243-0424 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kimberly D Stotts NPPES

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

KIMBERLY D STOTTS (NPI 1528837945) is an individual psychiatric/mental health provider in Jonesboro, Arkansas, licensed in Arkansas (227080) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1528837945

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKIMBERLY D STOTTS

Location Address1150 E MATTHEWS AVE STE 101AJonesboro, AR 72401-4356

Mailing Address257 Prospect Farm LnJonesboro, AR 72405-9273 · (501) 615-4990

Phone(870) 243-0424

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 27, 2023

NPPES CertifiedDecember 27, 2023

✔ NPI 1528837945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AR · 227080

1150 E MATTHEWS AVE STE 101A, Jonesboro, AR 72401

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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

Kimberly D Stotts 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 ID8123471760

PECOS Enrollment IDI20240130002629

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 72401 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.

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Other Providers at the Same Location NPPES 9

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

BRITTANY LANE REYNOLDS MSN, APRN, FNP-C

Nurse Practitioner (Family)