KEELY SPARKS APRN
NPI 1831721059
Nurse Practitioner - Gerontology in Little Rock, AR

Q: What is Keely Sparks's NPI number?

The NPI number for Keely Sparks is 1831721059. It was assigned to this individual provider in the NPPES registry on February 5, 2020.

Q: What is Keely Sparks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Keely Sparks was last updated on March 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 February 05, 2020PECOS EnrolledAccepts Medicare Assignment

10100 KANIS RD, LITTLE ROCK, AR 72205(501) 255-6000(501) 255-6400 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 18, 2020, Feb 5, 2020 (2 updates tracked since 2020).

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About Keely Sparks Aprn NPPES

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

KEELY SPARKS APRN (NPI 1831721059) is an individual gerontology provider in Little Rock, Arkansas, licensed in Arkansas (123828) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1831721059

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameKEELY SPARKSCredential: APRN

Location Address10100 KANIS RDLittle Rock, AR 72205-6202

Mailing Address5360 Chateau DrConway, AR 72034-7830

Phone(501) 255-6000

Fax(501) 255-6400

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 5, 2020

Last NPPES UpdateMarch 18, 20202 updates tracked since enumeration

NPPES CertifiedMarch 18, 2020

✔ NPI 1831721059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LG0600X

License✔ Licensed in AR · 123828

10100 KANIS RD, Little Rock, AR 72205

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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

Keely Sparks 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.

PECOS PAC ID7911335997

PECOS Enrollment IDI20200325003195

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 Keely Sparks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Vincent Infirmary Medical Center

Same address

Medical Specialty

10100 KANIS RD
Little Rock, AR 72205

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

NPI 1023381738 (501) 225-6000

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 72205 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

1 supplier15 claims16 services$18.59 avg. paid by Medicare

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222

DME-Medical/Surgical Supplies · category DA000N

1 supplier17 claims122 services$35.89 avg. paid by Medicare

Injection, milrinone lactate, 5 mg J2260

Treatment-Injections and Infusions (nononcologic) · category RI026N

1 supplier17 claims821 services$1.20 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

MRS. ANGELA EILEEN CARTWRIGHT APN

Nurse Practitioner