LARA ANN MCGLOTHLIN APRN
NPI 1790344562
Nurse Practitioner in Corning, AR

Q: What is Lara Mcglothlin's NPI number?

The NPI number for Lara Mcglothlin is 1790344562. It was assigned to this individual provider in the NPPES registry on June 6, 2019. The provider is also known as Lara Ann Kellett Aprn.

Q: What is Lara Mcglothlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lara Mcglothlin was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 06, 2019PECOS Enrolled

400 W 4TH ST, CORNING, AR 72422(870) 631-3538(870) 631-3540 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2022, Jun 6, 2019 (2 updates tracked since 2019).

On this page

About Lara Ann Mcglothlin Aprn NPPES

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

LARA ANN MCGLOTHLIN APRN (NPI 1790344562) is an individual nurse practitioner in Corning, Arkansas, licensed in Arkansas (120150) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790344562

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLARA ANN MCGLOTHLINCredential: APRN

Location Address400 W 4TH STCorning, AR 72422-2724

Mailing Address2701 Persimmon Pond RdPocahontas, AR 72455-5057 · (870) 378-4335

Phone(870) 631-3538

Fax(870) 631-3540

Sole ProprietorNo

Enumeration DateJune 6, 2019

Last NPPES UpdateOctober 13, 20222 updates tracked since enumeration

NPPES CertifiedAugust 27, 2021

✔ NPI 1790344562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AR · 120150

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

400 W 4TH ST, Corning, AR 72422

Open in Google Maps ↗

Other Names 1

Former Name (1)Lara Ann Kellett Aprn

Other Identifiers 1

Other120150AR · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lara Ann Mcglothlin Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Lara Mcglothlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pocahontas Medical Clinic PA

Same address

Family Medicine

400 W 4TH ST
Corning, AR 72422

Reassigned Medicare billing, Arkansas enrollment
18 clinicians in this Medicare group

NPI 1326781816 (870) 892-4467

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 72422 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 3

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

POCAHONTAS MEDICAL CLINIC PA

Family Medicine

400 W 4TH ST
CORNING, AR 72422

Clay County (870) 892-4467

WAYNE CHIROPRACTIC, INC

Clinic/Center

400 W 4TH ST
CORNING, AR 72422

Clay County (870) 857-8840

DR. MASON L YOUNG OD

Optometrist

400 W 4TH ST
CORNING, AR 72422

Clay County (870) 857-2020

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 Lara Mcglothlin's NPI number?

The NPI number for Lara Mcglothlin is 1790344562. It was assigned to this individual provider in the NPPES registry on June 6, 2019. The provider is also known as Lara Ann Kellett Aprn.

Where is Lara Mcglothlin located?

Lara Mcglothlin practices at 400 W 4th St, Corning, AR 72422. The listed phone number is (870) 631-3538.

What is Lara Mcglothlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lara Mcglothlin enrolled in Medicare?

Yes. Lara Mcglothlin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lara Mcglothlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lara Mcglothlin reassigns Medicare benefits to Pocahontas Medical Clinic PA (Corning, 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 Lara Mcglothlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lara Mcglothlin accept?

Health plans from Health Advantage and Octave list Lara Mcglothlin 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 Lara Mcglothlin was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.