MS. KELLEY L EASLEY DOTSON APN PNP-BC
NPI 1902064272
Nurse Practitioner - Pediatrics in Mena, AR

Q: What is Kelley Easley Dotson's NPI number?

The NPI number for Kelley Easley Dotson is 1902064272. It was assigned to this individual provider in the NPPES registry on May 23, 2008. The provider is also known as Ms. Kelley L Dotson Apn Pnp-Bc.

Q: What is Kelley Easley Dotson's specialty?

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

Active since May 23, 2008PECOS Enrolled

1102 CRESTWOOD CIR, MENA, AR 71953(479) 394-7301(479) 394-0371 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Kelley L Easley Dotson Apn Pnp-bc NPPES

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

MS. KELLEY L EASLEY DOTSON APN PNP-BC (NPI 1902064272) is an individual pediatrics provider in Mena, Arkansas, licensed in Arkansas (A001612) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Little Rock.

NPPES Registry Identity

NPI1902064272

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. KELLEY L EASLEY DOTSONCredential: APN PNP-BC

Location Address1102 CRESTWOOD CIRMena, AR 71953-5513

Mailing AddressPo Box 251418Little Rock, AR 72225-1418 · (501) 364-1100 · Fax (501) 364-4082

Phone(479) 394-7301

Fax(479) 394-0371

Sole ProprietorNo

Enumeration DateMay 23, 2008

Last NPPES UpdateJune 13, 2024

NPPES CertifiedJune 13, 2024

✔ NPI 1902064272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0200X

License✔ Licensed in AR · A001612

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License A001612 (AR)

1102 CRESTWOOD CIR, Mena, AR 71953

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Other Names 1

Other Name (5)Ms. Kelley L Dotson Apn Pnp-bc

Secondary Practice Location 1

Location 11301 Wolfe StLittle Rock, AR 72202-5320 · Phone (501) 372-2768 · Fax (501) 978-6492

Other Identifiers 1

Medicaid178404758AR

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kelley L Easley Dotson Apn Pnp-bc 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 71953 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.

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Other Providers at the Same Location NPPES 8

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

MENA HOSPITAL COMMISSION

Clinic/Center (Rural Health)