ROSINE KELLY CRNP
NPI 1962675181
Nurse Practitioner - Acute Care in Fort Smith, AR
About Rosine Kelly Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROSINE KELLY CRNP (NPI 1962675181) is an individual acute care provider in Fort Smith, Arkansas, licensed in Maryland (AC00390) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rosine Kelly Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rosine Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Smith, AR 72903
- Reassigned Medicare billing, Arkansas enrollment
- 658 clinicians in this Medicare group
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 72903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
FORT SMITH, AR 72903
FORT SMITH, AR 72903
FORT SMITH, AR 72903
FORT SMITH, AR 72903
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 Rosine Kelly's NPI number?
The NPI number for Rosine Kelly is 1962675181. It was assigned to this individual provider in the NPPES registry on April 9, 2008.
Where is Rosine Kelly located?
Rosine Kelly practices at 7301 Rogers Ave, Fort Smith, AR 72903. The listed phone number is (479) 314-5175.
What is Rosine Kelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Rosine Kelly enrolled in Medicare?
Yes. Rosine Kelly is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rosine Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rosine Kelly reassigns Medicare benefits to Mercy Clinic Fort Smith Communities (Fort Smith, AR). The 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 Rosine Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Rosine Kelly was last updated on May 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Rosine Kelly, CRNP · NPI 1962675181
Acute Care physician in Fort Smith, Arkansas. Individual provider, active in the CMS NPPES registry since April 9, 2008.
## Identity
- **NPI:** 1962675181 (Entity type: Individual)
- **Enumerated:** April 9, 2008
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** AC00390 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 7301 ROGERS AVE, Fort Smith, AR 72903-4100
- **Phone:** (479) 314-5175
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mercy Clinic Fort Smith Communities (NPI 1902073620, Fort Smith, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 1, 2017
- **Other identifiers:** Medicaid 207090758 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1962675181) · Data from the CMS NPPES public registry.