KELLY LESHELL HARDIN (ANP, RN) – Family Nurse Practitioner, NPI 1104169895

KELLY LESHELL HARDIN (ANP, RN) is a healthcare provider. based in Texarkana, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP, RN. They hold a License No. R072933 (AR). The NPI Number for KELLY LESHELL HARDIN (ANP, RN) is 1104169895

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
KELLY LESHELL HARDIN (ANP, RN)
NPI
1104169895
Phone
(870) 216-0080
Address
1205 E 35TH ST
Enumeration Date
1 April 2013
Last Update Date
15 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8702197706
Graduation Year
2012 (14 years ago)
PAC ID
0446485809
Group Practice PAC ID
5890077093
Professional Enrollment ID
I20131021001673
Address ID
AR727327007GA1672362XX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:13State licenses:2Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for KELLY LESHELL HARDIN (ANP, RN)

  • 1205 E 35TH ST

    TEXARKANA, AR 718542746

    Phone: (870) 216-0080

    Fax: (870) 216-0096

    Type: Location

  • PO BOX 1326

    MARSHALL, TX 756711326

    Phone: (903) 927-3782

    Fax: (903) 927-1764

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($29).

Total Amount

$29

General + Research + Ownership

Payments

2

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

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: 2013-10-21

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
I20131021001673INurse 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
87804Detection test by immunoassay with direct visual observation for influenza virus5825$0
81002Urinalysis, manual test1612$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing1412$0
View full utilization report →

Insurance plans in this area (ZIP 71854)

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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: 5890077093View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerOK
Family Practice, Geriatric MedicineAR
-AR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
-AR

Reviews

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Frequently asked questions

What is the 10-digit NPI for KELLY LESHELL HARDIN (ANP, RN)?
KELLY LESHELL HARDIN (ANP, RN) — NPI 1104169895 — is the standard way to identify this listing.
Can I rely on KELLY LESHELL HARDIN (ANP, RN) being an active provider?
As of the registry snapshot, KELLY LESHELL HARDIN (ANP, RN) is marked active.
What is KELLY LESHELL HARDIN (ANP, RN)'s specialty?
The listing groups KELLY LESHELL HARDIN (ANP, RN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect KELLY LESHELL HARDIN (ANP, RN) on a map?
Expect Texarkana, Arkansas as a primary anchor for KELLY LESHELL HARDIN (ANP, RN) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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