KENNETH DEAN PRUETT APN
NPI 1952524878
Nurse Practitioner - Psychiatric/Mental Health in Jonesboro, AR

Q: What is Kenneth Pruett's NPI number?

The NPI number for Kenneth Pruett is 1952524878. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Q: What is Kenneth Pruett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Pruett was last updated on April 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 April 10, 2007PECOS EnrolledAccepts Medicare Assignment

2707 BROWNS LN, JONESBORO, AR 72401(870) 972-4939(870) 972-4911 Get Directions Write a Review

NPPES record last updated: April 12, 2011. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Kenneth Dean Pruett Apn NPPES

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

KENNETH DEAN PRUETT APN (NPI 1952524878) is an individual psychiatric/mental health provider in Jonesboro, Arkansas, licensed in Arkansas (ATP-000181) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2008).

NPPES Registry Identity

NPI1952524878

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameKENNETH DEAN PRUETTCredential: APN

Location Address2707 BROWNS LNJonesboro, AR 72401-7213

Mailing Address2707 Browns LnJonesboro, AR 72401-7213 · (870) 972-4939 · Fax (870) 972-4911

Phone(870) 972-4939

Fax(870) 972-4911

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2008

Enumeration DateApril 10, 2007

Last NPPES UpdateApril 12, 2011

✔ NPI 1952524878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AR · ATP-000181

2707 BROWNS LN, Jonesboro, AR 72401

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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 and accepts Medicare assignment

Kenneth Dean Pruett Apn 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 ID8224184650

PECOS Enrollment IDI20090925000392

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

211 services66 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72401 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.

TAMRA THOMAS

Case Manager/Care Coordinator