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DUSTY MARIE COLBURN APRN
NPI 1730665449
Nurse Practitioner - Pediatrics in Fort Smith, AR

Active since July 16, 2018PECOS Enrolled
4900 KELLEY HWY, FORT SMITH, AR 72904(479) 785-5700(479) 785-5708 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2023, Feb 4, 2023, Mar 20, 2020 and 1 more (4 updates tracked since 2018).

About Dusty Marie Colburn Aprn NPPES

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

DUSTY MARIE COLBURN APRN (NPI 1730665449) is an individual pediatrics provider in Fort Smith, Arkansas, licensed in Arkansas (A005776) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1730665449
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDUSTY MARIE COLBURNCredential: APRN
Location Address4900 KELLEY HWYFort Smith, AR 72904-5000
Mailing Address4900 Kelley HwyFort Smith, AR 72904-5000 · (479) 785-5700 · Fax (479) 785-5708
Phone(479) 785-5700
Fax(479) 785-5708
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 16, 2018
Last NPPES UpdateMay 1, 20234 updates tracked since enumeration
NPPES CertifiedMay 1, 2023
✔ NPI 1730665449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in AR · A005776
4900 KELLEY HWY, Fort Smith, AR 72904
Open in Google Maps ↗

Other Identifiers 1

Medicaid137012001AR

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 (PECOS)

Dusty Marie Colburn Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698253607
PECOS Enrollment IDI20260131000329
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 72904 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 8

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

TRACY LYNN FISHER APN, NP-C
Nurse Practitioner (Family)
4900 KELLEY HWY
FORT SMITH, AR 72904
Sebastian County (479) 785-5700
KRISTINA MARIE GILSINGER PHARMD
Pharmacist
4900 KELLEY HWY
FORT SMITH, AR 72904
Sebastian County (479) 783-0221
SUSAN LYNN MCDANIEL ANP
Nurse Practitioner (Family)
4900 KELLEY HWY
FORT SMITH, AR 72904
Sebastian County (479) 785-5700
DR. LAURIE FISHER M.D.
Family Medicine
4900 KELLEY HWY
FORT SMITH, AR 72904
Sebastian County (479) 785-5700
RIVER VALLEY PRIMARY CARE
Pharmacy (Community/Retail Pharmacy)
4900 KELLEY HWY
FORT SMITH, AR 72904
Sebastian County (479) 783-0221
DR. WANDA V MCMICHEAL MD
Family Medicine
4900 KELLEY HWY
FORT SMITH, AR 72904
Sebastian County (479) 785-5700
REBECCA GRACE KESNER
Nurse Practitioner (Women's Health)
4900 KELLEY HWY
FORT SMITH, AR 72904
Sebastian County (479) 785-5700
ZACHARY HEATH MCBROOM APRN, FNP-C
Nurse Practitioner (Family)
4900 KELLEY HWY
FORT SMITH, AR 72904
Sebastian County (479) 785-5700

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 Dusty Colburn's NPI number?

The NPI number for Dusty Colburn is 1730665449. It was assigned to this individual provider in the NPPES registry on July 16, 2018.

Where is Dusty Colburn located?

Dusty Colburn practices at 4900 Kelley Hwy, Fort Smith, AR 72904. The listed phone number is (479) 785-5700.

What is Dusty Colburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Dusty Colburn enrolled in Medicare?

Yes. Dusty Colburn is registered in the Medicare PECOS enrollment system.

What insurance does Dusty Colburn accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Dusty Colburn 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 Dusty Colburn was last updated on May 1, 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.