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KIMBERLY T. MACCONAUGHA APN
NPI 1851653117
Nurse Practitioner - Pediatrics in Little Rock, AR

Active since June 13, 2012PECOS Enrolled
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202(501) 364-1100(501) 526-6562 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 26, 2021, May 15, 2018 (2 updates tracked since 2018).

About Kimberly T. Macconaugha Apn NPPES

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

KIMBERLY T. MACCONAUGHA APN (NPI 1851653117) is an individual pediatrics provider in Little Rock, Arkansas, licensed in Arkansas (A03713) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cabot.

NPPES Registry Identity

NPI1851653117
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKIMBERLY T. MACCONAUGHACredential: APN
Location Address1 CHILDRENS WAY # 653Little Rock, AR 72202
Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 526-6562
Phone(501) 364-1100
Fax(501) 526-6562
Sole ProprietorNo
Enumeration DateJune 13, 2012
Last NPPES UpdateMarch 26, 20212 updates tracked since enumeration
NPPES CertifiedMarch 26, 2021
✔ NPI 1851653117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in AR · A03713
1 CHILDRENS WAY # 653, Little Rock, AR 72202
Open in Google Maps ↗

Secondary Practice Location 1

Location 11106 S Pine St Ste BCabot, AR 72023-3819 · Phone (501) 422-6373

Other Identifiers 1

OtherA03713AR · Apn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly T. Macconaugha Apn 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 Reassignments

3

Medicare enrollment records show Kimberly Macconaugha reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arkansas Childrens Hospital
Same address
Pediatrics
1 CHILDRENS WAY # 664
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 944 clinicians in this Medicare group
NPI 1598773079 (501) 364-2526
University Of Arkansas For Medical Sciences
3.4 mi
Psychologist
1 CHILDRENS WAY # 653
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 1,246 clinicians in this Medicare group
NPI 1114255353 (501) 364-1100
Walk In Faith, PLLC
20 mi
Family Medicine
906 S PINE ST STE 5
Cabot, AR 72023
  • Reassigned Medicare billing, Arkansas enrollment
  • 5 clinicians in this Medicare group
NPI 1629754320 (501) 422-6700

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 72202 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 20

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

ADRIENNE MARIE KODER
Orthopaedic Surgery
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
STEPHEN JAMES CANON M.D.
Urology (Pediatric Urology)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
HEATHER LYNN YOUNG MD
Pediatrics (Pediatric Infectious Diseases)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
MRS. GLENDA MARIE ECKERT APN
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
AMBRE' LACHELLE POWNALL APN, PNP-BC
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
ANITA JEAN BUELL-SANDERS
Nurse Practitioner (Acute Care)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-3620
VIKAS CHOWDHARY M.D.
Pediatrics
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
BRITTNEY HARRIS
Pediatrics
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100

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 Kimberly Macconaugha's NPI number?

The NPI number for Kimberly Macconaugha is 1851653117. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Where is Kimberly Macconaugha located?

Kimberly Macconaugha practices at 1 Childrens Way # 653, Little Rock, AR 72202. The listed phone number is (501) 364-1100.

What is Kimberly Macconaugha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kimberly Macconaugha enrolled in Medicare?

Yes. Kimberly Macconaugha is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Macconaugha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Macconaugha reassigns Medicare benefits to 3 organizations: Arkansas Childrens Hospital (Little Rock, AR), University Of Arkansas For Medical Sciences (Little Rock, AR) and Walk In Faith, PLLC (Cabot, 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 Kimberly Macconaugha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Macconaugha 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 4 other insurers list Kimberly Macconaugha 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 Kimberly Macconaugha was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.