MS. KELLY ANN LUEDERS DMS, PA-C
NPI 1730135922
Physician Assistant in Rogers, AR

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
2110 W WALNUT ST, ROGERS, AR 72756(479) 202-7035 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2024, Apr 19, 2021, Jan 24, 2020 and 3 more (6 updates tracked since 2016).

About Ms. Kelly Ann Lueders Dms, Pa-c NPPES

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

MS. KELLY ANN LUEDERS DMS, PA-C (NPI 1730135922) is an individual physician assistant in Rogers, Arkansas, licensed in Arkansas (PA-443) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pea Ridge, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1730135922
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. KELLY ANN LUEDERSCredential: DMS, PA-C
Location Address2110 W WALNUT STRogers, AR 72756-3246
Mailing Address2110 W Walnut StRogers, AR 72756-3246 · (479) 202-7035
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 26, 2006
Last NPPES UpdateJune 26, 20246 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
NPI 1730135922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in AR · PA-443 Licensed in OK · 1191
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA-443 (AR), 2009009834 (MO)
2110 W WALNUT ST, Rogers, AR 72756

Other Names 1

Former Name (1)Kelly Ann Elliott Pa-c

Secondary Practice Location 1

Location 12103 Slack StPea Ridge, AR 72751-4005 · Phone (479) 765-1980

Other Identifiers 3

Medicaid100768880IOK
Medicaid100768880JOK
Other5V349AR · Ar Bc/bs

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

Ms. 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.

PECOS PAC ID2961304548
PECOS Enrollment IDI20110310001004, I20250515001209
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 72756 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
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
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 13

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

Pharmacist
2110 W WALNUT ST
ROGERS, AR 72756
Pharmacist
2110 W WALNUT ST
ROGERS, AR 72756
Pharmacist
2110 W WALNUT ST
ROGERS, AR 72756
Pharmacy
2110 W WALNUT ST
ROGERS, AR 72756
Pharmacist
2110 W WALNUT ST
ROGERS, AR 72756
Optometrist
2110 W WALNUT ST
ROGERS, AR 72756
Pharmacy (Community/Retail Pharmacy)
2110 W WALNUT ST
ROGERS, AR 72756
Technician/Technologist (Optician)
2110 W WALNUT ST
ROGERS, AR 72756

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 2110 W Walnut St, Rogers, AR 72756. The listed phone number is (479) 202-7035.

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 June 26, 2024. 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.