Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902064272 Individual Practitioner Female Practitioner

Kelley L Easley Dotson , APN PNP-BC

Nurse Practitioner - Pediatrics • Mena, AR

Professional Overview & Biography Verified Profile Summary

Kelley Easley Dotson, APN PNP-BC is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Mena, AR. Practice services are available at 1102 CRESTWOOD CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1102 Crestwood Cir

Mena, AR 719535513

Telephone 4793947301
Fax 4793940371
Associated Practice Facility / Clinic
🏢 Mountain View Clinic I Llc Facility NPI 1851366777

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Mena, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Mena, AR (228 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-13
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License AR A001612

Definition to come...

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License AR A001612

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
178404758 (AR)

Secondary Practice Locations

1301 Wolfe St

Little Rock, AR 722025320

Phone: 5013722768

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Jeffery Ulmer , PA-C

Physician Assistant - Medical

NPI 1225072614

Physician Assistant (Certified)

NPI 1487629317

Doctor of Medicine (M.D.)

NPI 1598731259

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address June 13, 2024

Registered at PO BOX 251418, LITTLE ROCK, AR 722251418 (Tel: 5013641100)

👤
Provider Name / Credentials Updated June 13, 2024

Recorded as KELLEY EASLEY DOTSON, APN PNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2024

Nurse Practitioner (License #A001612 in AR)

NPI Profile Active December 23, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 23, 2013

Registered at 1102 CRESTWOOD CIR, MENA, AR 719535513 (Tel: 4793947301)

📍
Updated Business Mailing Address December 23, 2013

Registered at 1102 CRESTWOOD CIR, MENA, AR 719535513 (Tel: 4793947301)

👤
Provider Name / Credentials Updated December 23, 2013

Recorded as KELLEY DOTSON, APN PNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2013

Nurse Practitioner (License #AO1612 in AR)

🟢
Initial NPI Registration & Enumeration May 23, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902064272
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2008
Last Update: June 13, 2024
Sole Proprietor: No

Mailing Address

Po Box 251418

Little Rock, AR 722251418

Phone: 5013641100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.