KIMBERLY D STOTTS
NPI 1528837945
Nurse Practitioner - Psychiatric/Mental Health in Jonesboro, AR
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Stotts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jonesboro, AR 72401
- Reassigned Medicare billing, Arkansas enrollment
- 37 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
JONESBORO, AR 72401
JONESBORO, AR 72401
JONESBORO, AR 72401
JONESBORO, AR 72401
JONESBORO, AR 72401
JONESBORO, AR 72401
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 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.
Where is Kimberly Stotts located?
Kimberly Stotts practices at 1150 E Matthews Ave Ste 101A, Jonesboro, AR 72401. The listed phone number is (870) 243-0424.
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.
Is Kimberly Stotts enrolled in Medicare?
Yes. Kimberly Stotts 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.
Which organization bills Medicare for Kimberly Stotts's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Stotts reassigns Medicare benefits to Renew Mental Health And Wellness LLC (Jonesboro, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Stotts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Stotts accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kimberly Stotts 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 Kimberly Stotts was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Kimberly D Stotts · NPI 1528837945
Psychiatric/Mental Health physician in Jonesboro, Arkansas. Individual provider, active in the CMS NPPES registry since December 27, 2023.
## Identity
- **NPI:** 1528837945 (Entity type: Individual)
- **Enumerated:** December 27, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 227080 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1150 E MATTHEWS AVE STE 101A, Jonesboro, AR 72401-4356
- **Phone:** (870) 243-0424
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Renew Mental Health And Wellness LLC (NPI 1447817572, Jonesboro, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1528837945) · Data from the CMS NPPES public registry.