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

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: July 19, 2026.

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

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
10100 KANIS RD
LITTLE ROCK, AR 72205
Internal Medicine (Cardiovascular Disease)
10100 KANIS RD
LITTLE ROCK, AR 72205
Internal Medicine (Cardiovascular Disease)
10100 KANIS RD
LITTLE ROCK, AR 72205
Internal Medicine (Clinical Cardiac Electrophysiology)
10100 KANIS RD
LITTLE ROCK, AR 72205
Nurse Practitioner
10100 KANIS RD
LITTLE ROCK, AR 72205
Internal Medicine (Cardiovascular Disease)
10100 KANIS RD
LITTLE ROCK, AR 72205
Internal Medicine (Cardiovascular Disease)
10100 KANIS RD
LITTLE ROCK, AR 72205
Nurse Practitioner
10100 KANIS RD
LITTLE ROCK, AR 72205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831721059, enumerated as an "individual" on February 05, 2020.

The provider is located at 10100 KANIS RD LITTLE ROCK, AR 72205 and the phone number is (501) 255-6000.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, Health. Please consult your insurance carrier or call the provider to verify.