KELLY ANN LUEDERS DMS, PA-C
NPI 1730135922
Physician Assistant in Bentonville, AR
About Kelly Ann Lueders Dms, Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ANN LUEDERS DMS, PA-C (NPI 1730135922) is an individual physician assistant in Bentonville, Arkansas, licensed in Arkansas (PA-443) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
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
Kelly Ann Lueders Dms, Pa-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72712 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BENTONVILLE, AR 72712
BENTONVILLE, AR 72712
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 Lueders's NPI number?
The NPI number for Kelly Lueders is 1730135922. It was assigned to this individual provider in the NPPES registry on May 26, 2006. The provider is also known as Kelly Ann Elliott Pa-C.
Where is Kelly Lueders located?
Kelly Lueders practices at 1303 NE Legacy Pkwy, Bentonville, AR 72712. The listed phone number is (479) 271-2387.
What is Kelly Lueders's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kelly Lueders enrolled in Medicare?
Yes. Kelly Lueders 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 Lueders accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Kelly Lueders 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 Lueders was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.
# Kelly Ann Lueders, DMS, PA-C · NPI 1730135922
Physician Assistant physician in Bentonville, Arkansas. Individual provider, active in the CMS NPPES registry since May 26, 2006.
## Identity
- **NPI:** 1730135922 (Entity type: Individual)
- **Enumerated:** May 26, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA-443 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1303 NE LEGACY PKWY, Bentonville, AR 72712-4940
- **Phone:** (479) 271-2387 · **Fax:** (479) 202-4840
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 18, 2026
- **Other identifiers:** Medicaid 100768880I (OK); Medicaid 100768880J (OK); Other 5V349 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1730135922) · Data from the CMS NPPES public registry.