Carolyn Sue Kelley, APRN - Medicare Nurse Practitioner in West Fork, AR

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Carolyn Sue Kelley, APRN is a medicare enrolled "Nurse Practitioner - Family" in West Fork, Arkansas. Her current practice location is 19002 Bug Scuffle Rd, West Fork, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 761-0171.

Carolyn Sue Kelley is licensed to practice in Arkansas (license number A005921) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811470974.

Contact Information

Carolyn Sue Kelley, APRN
19002 Bug Scuffle Rd,
West Fork, AR 72774-2878
(479) 761-0171
Not Available

Map and Direction




Provider's Profile

Full NameCarolyn Sue Kelley
GenderFemale
SpecialityNurse Practitioner - Family
Location19002 Bug Scuffle Rd, West Fork, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811470974
  • Provider Enumeration Date: 09/13/2018
  • Last Update Date: 09/26/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9537555495
  • Enrollment ID: I20220404000120

Medical Identifiers

Medical identifiers for Carolyn Sue Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811470974NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A005921 (Arkansas)Primary
163W00000XRegistered Nurse R089667 (Arkansas)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolyn Sue Kelley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carolyn Sue Kelley, APRN
19002 Bug Scuffle Rd,
West Fork, AR 72774-2878

Ph: (479) 761-0171		Carolyn Sue Kelley, APRN
19002 Bug Scuffle Rd,
West Fork, AR 72774-2878

Ph: (479) 761-0171

Reviews and Comments


Nurse Practitioner Nurses in West Fork, AR

Dr. Sarah Madison Spence, DNP, APRN, FNP-CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 451 Phillips St, West Fork, AR 72774
Phone: 479-294-6085    
Sandy Michele Branson, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 425-a N. Centennial, West Fork, AR 72774
Phone: 479-839-2670    Fax: 479-294-6067

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.