CAROLYN SUE KELLEY APRN
NPI 1811470974
Nurse Practitioner - Family in West Fork, AR

Q: What is Carolyn Kelley's NPI number?

The NPI number for Carolyn Kelley is 1811470974. It was assigned to this individual provider in the NPPES registry on September 13, 2018.

Q: What is Carolyn Kelley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Kelley was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 September 13, 2018PECOS Enrolled

19002 BUG SCUFFLE RD, WEST FORK, AR 72774(479) 761-0171 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2018, Sep 13, 2018 (2 updates tracked since 2018).

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About Carolyn Sue Kelley Aprn NPPES

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

CAROLYN SUE KELLEY APRN (NPI 1811470974) is an individual family provider in West Fork, Arkansas, licensed in Arkansas (A005921) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811470974

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCAROLYN SUE KELLEYCredential: APRN

Location Address19002 BUG SCUFFLE RDWest Fork, AR 72774-2878

Mailing Address19002 Bug Scuffle RdWest Fork, AR 72774-2878 · (479) 761-0171

Phone(479) 761-0171

Sole ProprietorYes

Enumeration DateSeptember 13, 2018

Last NPPES UpdateSeptember 26, 20182 updates tracked since enumeration

✔ NPI 1811470974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in AR · A005921

Also ListedRegistered NurseTaxonomy 163W00000X · License R089667 (AR)

19002 BUG SCUFFLE RD, West Fork, AR 72774

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn Sue Kelley 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72774 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.

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 Carolyn Kelley's NPI number?

The NPI number for Carolyn Kelley is 1811470974. It was assigned to this individual provider in the NPPES registry on September 13, 2018.

Where is Carolyn Kelley located?

Carolyn Kelley practices at 19002 Bug Scuffle Rd, West Fork, AR 72774. The listed phone number is (479) 761-0171.

What is Carolyn Kelley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carolyn Kelley enrolled in Medicare?

Yes. Carolyn Kelley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carolyn Kelley was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.