Kellie Nichole Robertson, MSN, NP-C in Fayetteville, AR

Kellie Nichole Robertson, MSN, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Fayetteville, Arkansas. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Washington Regional Medical System and her current practice location is 3344 N Futrall Dr, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 582-7395.

Kellie Nichole Robertson is licensed to practice in Arkansas (license number A03078 ANP) 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 1922278878.

Contact Information

	Kellie Nichole Robertson, MSN, NP-C
	3344 N Futrall Dr, Fayetteville, AR 72703-4057
	(479) 582-7395
	(479) 582-7310

Map and Direction

Provider's Profile

Full Name	Kellie Nichole Robertson
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	3344 N Futrall Dr, Fayetteville, 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:

Kellie Nichole Robertson graduated from nursing school in 2007

NPI Data:

NPI Number: 1922278878
Provider Enumeration Date: 03/06/2008
Last Update Date: 11/06/2013

Medicare PECOS Information:

PECOS PAC ID: 4880752013
Enrollment ID: I20081016000522

Medical Identifiers

Medical identifiers for Kellie Nichole Robertson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922278878	NPI	-	NPPES
200241820A	Medicaid	OK
175580758	Medicaid	AR
5A990	Other	AR	AR BCBS
5A990	Other	AR	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A03078 ANP (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Washington Regional Medical Center	Fayetteville, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Washington Regional Medical System	8820995434	219

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. Kellie Nichole Robertson allows following entities to bill medicare on her behalf.

Entity Name	Washington Regional Medical System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326376419 PECOS PAC ID: 8820995434 Enrollment ID: O20100130000001

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. Kellie Nichole Robertson 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
Kellie Nichole Robertson, MSN, NP-C Po Box 550, Lowell, AR 72745-0550 Ph: (479) 463-7775	Kellie Nichole Robertson, MSN, NP-C 3344 N Futrall Dr, Fayetteville, AR 72703-4057 Ph: (479) 582-7395

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
Mrs. Sue Ellen Schultz, A.P.N., F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 525 N Garland Ave, Fayetteville, AR 72701 Phone: 479-575-6479 Fax: 479-575-8793

Kellie Nichole Robertson, MSN, NP-C - Medicare Nurse Practitioner in Fayetteville, AR