Leslie Kathryn Pamungkas, MSN, RN - Nurse Practitioner in Prairie Grove, AR

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Leslie Kathryn Pamungkas, MSN, RN is a Nurse Practitioner - Family based in Prairie Grove, Arkansas. Leslie Kathryn Pamungkas is licensed to practice in Arkansas (license number 233191) and her current practice location is 907 Hancock St, Prairie Grove, Arkansas. She can be reached at her office (for appointments etc.) via phone at (479) 713-0005.

NPI number for Leslie Kathryn Pamungkas is 1952145658 and her current mailing address is 907 Hancock St, Prairie Grove, Arkansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952145658.

Contact Information

Leslie Kathryn Pamungkas, MSN, RN
907 Hancock St,
Prairie Grove, AR 72753-2886
(479) 713-0005
Not Available

Map and Direction




Provider's Profile

Full NameLeslie Kathryn Pamungkas
GenderFemale
SpecialityNurse Practitioner - Family
Location907 Hancock St, Prairie Grove, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1952145658
  • Provider Enumeration Date: 06/19/2024
  • Last Update Date: 06/04/2025

Medical Identifiers

Medical identifiers for Leslie Kathryn Pamungkas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952145658NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency R069469 (Arkansas)Secondary
363LF0000XNurse Practitioner - Family 233191 (Arkansas)Primary

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. Leslie Kathryn Pamungkas is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Leslie Kathryn Pamungkas, MSN, RN
907 Hancock St,
Prairie Grove, AR 72753-2886

Ph: (479) 713-0005		Leslie Kathryn Pamungkas, MSN, RN
907 Hancock St,
Prairie Grove, AR 72753-2886

Ph: (479) 713-0005

Reviews and Comments


Nurse Practitioner Nurses in Prairie Grove, AR

Rachel Herrell, APRN FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 871 E Heritage Pkwy, Prairie Grove, AR 72753
Phone: 479-487-2001    Fax: 833-464-4150
Jaynee Gail Sizemore, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 871 E Heritage Pkwy, Prairie Grove, AR 72753
Phone: 479-487-2001    Fax: 579-487-2003
Kacee Bodiford, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3150 E. Heritage Pwy, Prairie Grove, AR 72753
Phone: 479-400-1140    Fax: 479-400-1151

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.