Kathleen Idella-robichaud Vasquez, APRN, AGPCNP-BC in Conway, AR

Kathleen Idella-robichaud Vasquez, APRN, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in Conway, Arkansas. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Conway Regional Medical Center Inc and her current practice location is 2200 Ada Ave Ste 201, Conway, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 852-1360.

Kathleen Idella-robichaud Vasquez is licensed to practice in Arkansas (license number A006157) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558822791.

Contact Information

	Kathleen Idella-robichaud Vasquez, APRN, AGPCNP-BC
	2200 Ada Ave Ste 201, Conway, AR 72034-4984
	(501) 852-1360
	(501) 552-5316

Map and Direction

Provider's Profile

Full Name	Kathleen Idella-robichaud Vasquez
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	2200 Ada Ave Ste 201, Conway, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathleen Idella-robichaud Vasquez graduated from nursing school in 2018

NPI Data:

NPI Number: 1558822791
Provider Enumeration Date: 03/29/2019
Last Update Date: 07/26/2023

Medicare PECOS Information:

PECOS PAC ID: 5496085201
Enrollment ID: I20190920002657

Medical Identifiers

Medical identifiers for Kathleen Idella-robichaud Vasquez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558822791	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	A006157 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Conway Regional Health System	Conway, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Conway Regional Medical Center Inc	3173428414	131

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathleen Idella-robichaud Vasquez allows following entities to bill medicare on her behalf.

Entity Name	Conway Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396913976 PECOS PAC ID: 3173428414 Enrollment ID: O20080404000463

Entity Name	Conway Regional Medical Center Inc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1730601451 PECOS PAC ID: 3173428414 Enrollment ID: O20171026001815

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. Kathleen Idella-robichaud Vasquez 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 Address	Practice Location Address
Kathleen Idella-robichaud Vasquez, APRN, AGPCNP-BC Po Box 9662, Conway, AR 72033-9662 Ph: (501) 852-1363	Kathleen Idella-robichaud Vasquez, APRN, AGPCNP-BC 2200 Ada Ave Ste 201, Conway, AR 72034-4984 Ph: (501) 852-1360

Reviews and Comments

Nurse Practitioner Nurses in Conway, AR

Marina Gray, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 495 Hogan Ln Ste 2, Conway, AR 72034 Phone: 501-358-6695 Fax: 501-358-6860
Mckenzie Lauren Cotton, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 Skyline Dr, Conway, AR 72032 Phone: 501-499-6222
Cynthia Lou Grubbs, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 495 Hogan Ln, Conway, AR 72034 Phone: 501-327-1150 Fax: 501-327-3427
Mrs. Leah Maranda Martin, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Harkrider St, Suite B, Conway, AR 72032 Phone: 501-327-7100 Fax: 501-279-9011
Keisha A. Fox, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Salem Rd Ste 1, Conway, AR 72034 Phone: 479-518-4977 Fax: 479-203-3030
Mrs. Shakenia A Tate, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 E Siebenmorgen Rd, Conway, AR 72032 Phone: 501-329-6851
David Adam Steinfeld, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 855 S German Ln Ste 1, Conway, AR 72034 Phone: 501-358-6606 Fax: 501-325-5554

Kathleen Idella-robichaud Vasquez, APRN, AGPCNP-BC - Medicare Nurse Practitioner in Conway, AR