KATHRYN CULLUM PA-C
NPI 1942061650
Physician Assistant - Medical in Rogers, AR

Active since January 19, 2024PECOS Enrolled
5433 W WALSH LN, ROGERS, AR 72758(479) 777-8014 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathryn Cullum Pa-c NPPES

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

KATHRYN CULLUM PA-C (NPI 1942061650) is an individual medical provider in Rogers, Arkansas, licensed in Arkansas (PA-1242) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942061650
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATHRYN CULLUMCredential: PA-C
Location Address5433 W WALSH LNRogers, AR 72758-8946
Mailing Address105 Jenna LnGravette, AR 72736-5019
Sole ProprietorNo
Enumeration DateJanuary 19, 2024
Last NPPES UpdateFebruary 1, 2024
NPPES CertifiedFebruary 1, 2024
NPI 1942061650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AR · PA-1242
5433 W WALSH LN, Rogers, AR 72758

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 (PECOS)

Kathryn Cullum Pa-c 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.

Other Providers at the Same Location NPPES 2

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

Surgery (Vascular Surgery)
5433 W WALSH LN
ROGERS, AR 72758
Nurse Practitioner (Primary Care)
5433 W WALSH LN
ROGERS, AR 72758

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 Kathryn Cullum's NPI number?

The NPI number for Kathryn Cullum is 1942061650. It was assigned to this individual provider in the NPPES registry on January 19, 2024.

Where is Kathryn Cullum located?

Kathryn Cullum practices at 5433 W Walsh Ln, Rogers, AR 72758. The listed phone number is (479) 777-8014.

What is Kathryn Cullum's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kathryn Cullum enrolled in Medicare?

Yes. Kathryn Cullum is registered in the Medicare PECOS enrollment system.

What insurance does Kathryn Cullum accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Kathryn Cullum 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 Kathryn Cullum was last updated on February 1, 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.