DESIREE CULLUM NURSE PRACTITIONER
NPI 1992122568
Nurse Practitioner in Little Rock, AR

Q: What is Desiree Cullum's NPI number?

The NPI number for Desiree Cullum is 1992122568. It was assigned to this individual provider in the NPPES registry on March 20, 2014.

Q: What is Desiree Cullum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Desiree Cullum was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 March 20, 2014PECOS EnrolledAccepts Medicare Assignment

5700 W MARKHAM ST, LITTLE ROCK, AR 72205(501) 227-0184(501) 227-0187 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2025, Aug 7, 2018 (2 updates tracked since 2018).

On this page

About Desiree Cullum Nurse Practitioner NPPES

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

DESIREE CULLUM NURSE PRACTITIONER (NPI 1992122568) is an individual nurse practitioner in Little Rock, Arkansas, licensed in Arkansas (217869) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1992122568

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDESIREE CULLUMCredential: NURSE PRACTITIONER

Location Address5700 W MARKHAM STLittle Rock, AR 72205-3328

Mailing Address11001 Executive Center Dr Ste 200Little Rock, AR 72211-4393 · (501) 227-0184 · Fax (501) 227-0187

Phone(501) 227-0184

Fax(501) 227-0187

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 20, 2014

Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration

NPPES CertifiedMarch 31, 2025

✔ NPI 1992122568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AR · 217869

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

5700 W MARKHAM ST, Little Rock, AR 72205

Open in Google Maps ↗

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

Desiree Cullum Nurse Practitioner 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 ID9335650068

PECOS Enrollment IDI20250618002501

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 72205 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.

Leave this field empty

Other Providers at the Same Location NPPES 10

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

MRS. MICHELLE PARISH APRN

Nurse Practitioner (Family)