KELLY L MADIA ARNP NPI 1336503457

NPI Information

  • NPI: 1336503457
  • Provider Name: KELLY L MADIA, ARNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2710 S RIFE MEDICAL LN
    ROGERS, AR
    ZIP 72758
  • Phone: (479) 636-0200

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NPI Details

Kelly L Madia, ARNP is a gerontology nurse practitioner in Rogers, AR. Kelly L Madia, ARNP NPI is 1336503457. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2710 S RIFE MEDICAL LN
ROGERS, AR
ZIP 72758-452
Phone: (479) 636-0200
Fax: (479) 986-3448

The NPI 1336503457 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Evaluation of implantable heart and blood vessel monitoring system (HCPCS:93290)

The enumeration date for this NPI number is 4/6/2016 and was last updated on 2/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerAP60910189WASHINGTONNo
2363LA2100XNurse PractitionerAcute CareAP60910189WASHINGTONNo
3363LG0600XNurse PractitionerGerontologyAP60910189WASHINGTONNo
4363LG0600XNurse PractitionerGerontologyA004821ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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