KELLY R. MCCARTY APRN
NPI 1821619370
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, AR
About Kelly R. Mccarty Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY R. MCCARTY APRN (NPI 1821619370) is an individual psychiatric/mental health provider in Fayetteville, Arkansas, licensed in Arkansas (123726) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rogers, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly R. Mccarty Aprn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelly Mccarty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lowell, AR 72745
- Reassigned Medicare billing, Arkansas enrollment
- 13 clinicians in this Medicare group
Rogers, AR 72758
- Reassigned Medicare billing, Arkansas enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Mccarty's NPI number?
The NPI number for Kelly Mccarty is 1821619370. It was assigned to this individual provider in the NPPES registry on May 6, 2020.
Where is Kelly Mccarty located?
Kelly Mccarty practices at 5872 W Bannister Dr, Fayetteville, AR 72704. The listed phone number is (479) 276-0939.
What is Kelly Mccarty's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kelly Mccarty enrolled in Medicare?
Yes. Kelly Mccarty 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.
Which organizations bill Medicare for Kelly Mccarty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mccarty reassigns Medicare benefits to 2 organizations: Ketamine And IV Therapy Clinic Of Nwa LLC (Lowell, AR) and Pure Balance Of Nwa PLLC (Rogers, AR). Each 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 Kelly Mccarty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Mccarty accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kelly Mccarty 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 Mccarty was last updated on August 4, 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.
# Kelly R. Mccarty, APRN · NPI 1821619370
Psychiatric/Mental Health physician in Fayetteville, Arkansas. Individual provider, active in the CMS NPPES registry since May 6, 2020.
## Identity
- **NPI:** 1821619370 (Entity type: Individual)
- **Enumerated:** May 6, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 123726 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5872 W BANNISTER DR, Fayetteville, AR 72704-6536
- **Phone:** (479) 276-0939
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ketamine And IV Therapy Clinic Of Nwa LLC (NPI 1609654847, Lowell, AR); Pure Balance Of Nwa PLLC (NPI 1073359931, Rogers, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 4, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1821619370) · Data from the CMS NPPES public registry.