AMANDA KATHRYN KINCADE (APRN) – Family Nurse Practitioner, NPI 1154011872

AMANDA KATHRYN KINCADE (APRN) is a healthcare provider. based in Jacksonville, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 224031 (AR). The NPI Number for AMANDA KATHRYN KINCADE (APRN) is 1154011872

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA KATHRYN KINCADE (APRN)
NPI
1154011872
Phone
(501) 743-9021
Address
1320 Braden St
Enumeration Date
8 May 2023
Last Update Date
6 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2039012493
Graduation Year
2023 (3 years ago)
PAC ID
7416316658
Group Practice PAC ID
8022551647
Professional Enrollment ID
I20230706000079
Address ID
AR727123875BE1202XRDXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

3,434 NURSE PRACTITIONER in AR

Provider Addresses for AMANDA KATHRYN KINCADE (APRN)

  • 1320 Braden St

    Jacksonville, AR 720763719

    Phone: (501) 743-9021

    Type: Location

  • 601 E Mtn Springs Rd

    Cabot, AR 720232493

    Phone: (501) 743-9021

    Type: Location

  • PO BOX 1478

    CABOT, AR 720231478

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $95.

Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.

Last reported payment date: 2023-10-06 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($34).

Total Amount

$95

General + Research + Ownership

Payments

6

Total payment records

General Amount

$95

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-06

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: 2023-07-06

PECOS data refreshed: 2026-06-15

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
I20230706000079INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72076)

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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 PractitionerTX
Nurse PractitionerAR
Nurse PractitionerMA

Reviews

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Frequently asked questions

What NPI should I save for AMANDA KATHRYN KINCADE (APRN)?
Save NPI 1154011872 if you need a stable reference for AMANDA KATHRYN KINCADE (APRN).
Is AMANDA KATHRYN KINCADE (APRN) active in the national directory?
AMANDA KATHRYN KINCADE (APRN)'s public NPI profile is in an active state.
Does AMANDA KATHRYN KINCADE (APRN) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for AMANDA KATHRYN KINCADE (APRN). Clinical services aligned with this taxonomy classification.
What location metadata exists for AMANDA KATHRYN KINCADE (APRN)?
The page summarizes Jacksonville, Arkansas for AMANDA KATHRYN KINCADE (APRN); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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