Ms Maryalice Kelly, APN - Medicare Nurse Practitioner in Fayetteville, AR

Ms Maryalice Kelly, APN is a medicare enrolled "Nurse Practitioner" in Fayetteville, Arkansas. Her current practice location is 1125 N College Ave, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 713-8000.

Ms Maryalice Kelly is licensed to practice in Arkansas (license number A001933) 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 1326071283.

Contact Information

Ms Maryalice Kelly, APN
1125 N College Ave,
Fayetteville, AR 72703-1908
(479) 713-8000
(479) 443-3903

Map and Direction




Provider's Profile

Full NameMs Maryalice Kelly
GenderFemale
SpecialityNurse Practitioner
Location1125 N College Ave, Fayetteville, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326071283
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 04/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3577572296
  • Enrollment ID: I20070116000184

Medical Identifiers

Medical identifiers for Ms Maryalice Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326071283NPI-NPPES
182728758MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner A001933 (Arkansas)Primary

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. Ms Maryalice Kelly allows following entities to bill medicare on her behalf.
Entity NameNorthwest Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194768721
PECOS PAC ID: 0244213213
Enrollment ID: O20040610000882

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. Ms Maryalice Kelly 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
Ms Maryalice Kelly, APN
Po Box 251420,
Little Rock, AR 72225-1420

Ph: (501) 686-8000
Ms Maryalice Kelly, APN
1125 N College Ave,
Fayetteville, AR 72703-1908

Ph: (479) 713-8000

Reviews and Comments


Nurse Practitioner Nurses in Fayetteville, AR

Michele L Griffin, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1100 N College Ave, Fayetteville, AR 72703
Phone: 641-780-8696    
Durinda Pena, A.P.N.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3232 N North Hills Blvd., Fayetteville, AR 72703
Phone: 479-587-1700    Fax: 479-587-1366
Mrs. Diane H. Morrow, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2630 E Citizens Dr Ste 13, Fayetteville, AR 72703
Phone: 479-571-6000    
Colby Hines, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1100 N College Ave, Fayetteville, AR 72703
Phone: 479-443-4301    
Elizabeth Ann-grace Burns, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703
Phone: 479-521-8200    Fax: 479-582-7329
Julia Marsh, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 180 E Sunbridge Dr, Fayetteville, AR 72703
Phone: 479-587-5805    Fax: 479-659-7930
Miss Sarah Anne Campbell, DNP, AGAC-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3211 N Northhills Blvd, Fayetteville, AR 72703
Phone: 479-463-8740    

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.