KATHLEEN IDELLA-ROBICHAUD VASQUEZ APRN, AGPCNP-BC
NPI 1558822791
Nurse Practitioner - Gerontology in Conway, AR

Q: What is Kathleen Vasquez's NPI number?

The NPI number for Kathleen Vasquez is 1558822791. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Q: What is Kathleen Vasquez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Vasquez was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment

2200 ADA AVE STE 201, CONWAY, AR 72034(501) 852-1360(501) 552-5316 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 26, 2023, Aug 8, 2019 (2 updates tracked since 2019).

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About Kathleen Idella-robichaud Vasquez Aprn, Agpcnp-bc NPPES

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

KATHLEEN IDELLA-ROBICHAUD VASQUEZ APRN, AGPCNP-BC (NPI 1558822791) is an individual gerontology provider in Conway, Arkansas, licensed in Arkansas (A006157) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Conway, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1558822791

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameKATHLEEN IDELLA-ROBICHAUD VASQUEZCredential: APRN, AGPCNP-BC

Location Address2200 ADA AVE STE 201Conway, AR 72034-4984

Mailing AddressPo Box 9662Conway, AR 72033-9662 · (501) 852-1363 · Fax (501) 852-1364

Phone(501) 852-1360

Fax(501) 552-5316

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 29, 2019

Last NPPES UpdateJuly 26, 20232 updates tracked since enumeration

NPPES CertifiedJuly 26, 2023

✔ NPI 1558822791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in AR · A006157

2200 ADA AVE STE 201, Conway, AR 72034

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Secondary Practice Location 1

Location 1625 United Dr Ste 120Conway, AR 72032-7827 · Phone (501) 358-6720

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

Kathleen Idella-robichaud Vasquez Aprn, Agpcnp-bc 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 ID5496085201

PECOS Enrollment IDI20190920002657

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 5

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.

75 services68 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.

66 services50 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

62 services62 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

53 services53 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72034 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 7

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

MRS. TAYLOR GREGORY PA-C

Physician Assistant (Surgical)