MATTIE KEASTER (APRN) – Nurse Practitioner, NPI 1023707205

MATTIE KEASTER (APRN) is a healthcare provider. based in El dorado, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 223445 (AR). The NPI Number for MATTIE KEASTER (APRN) is 1023707205

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MATTIE KEASTER (APRN)
NPI
1023707205
Phone
(870) 314-1314
Address
528 W FAULKNER ST
Enumeration Date
3 May 2023
Last Update Date
9 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2039012493
Graduation Year
2022 (4 years ago)
PAC ID
8022470913
Group Practice PAC ID
8022551647
Professional Enrollment ID
I20230809001317
Address ID
AR727123875BE1202XRDXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for MATTIE KEASTER (APRN)

  • 528 W FAULKNER ST

    EL DORADO, AR 717304519

    Phone: (870) 314-1314

    Type: Mailing

  • 1646 HUTTIG HWY

    STRONG, AR 717659780

    Phone: (870) 314-1314

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $145.

Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($92).

Total Amount

$145

General + Research + Ownership

Payments

8

Total payment records

General Amount

$145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230809001317INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes10274$0
View full utilization report →

Insurance plans in this area (ZIP 71730)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022551647View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerTX
Nurse PractitionerAR

Reviews

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Frequently asked questions

Is there an official ID for MATTIE KEASTER (APRN) in U.S. healthcare records?
The official identifier for MATTIE KEASTER (APRN) is NPI 1023707205.
Is there an active status for MATTIE KEASTER (APRN)?
For scheduling context, MATTIE KEASTER (APRN) is shown as active in the registry.
What kind of doctor is MATTIE KEASTER (APRN)?
MATTIE KEASTER (APRN) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MATTIE KEASTER (APRN)?
Travel planning: use El Dorado, Arkansas as the reference point for MATTIE KEASTER (APRN), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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