NOMA WILKINSON KELLNER (APRN) – Family Nurse Practitioner, NPI 1194144964

NOMA WILKINSON KELLNER (APRN) is a healthcare provider. based in Russellville, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. A004032 (AR). The NPI Number for NOMA WILKINSON KELLNER (APRN) is 1194144964

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
NOMA WILKINSON KELLNER (APRN)
NPI
1194144964
Phone
(479) 968-2345
Address
101 SKYLINE DR
Enumeration Date
9 April 2014
Last Update Date
4 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4799682345
Graduation Year
2013 (13 years ago)
PAC ID
0446474373
Group Practice PAC ID
4981698032
Professional Enrollment ID
I20140617000685
Address ID
AR728013363RU101XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for NOMA WILKINSON KELLNER (APRN)

  • 101 SKYLINE DR

    RUSSELLVILLE, AR 728013363

    Phone: (479) 968-2345

    Fax: (479) 890-2497

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2023-10-23 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($23).

Total Amount

$61

General + Research + Ownership

Payments

3

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-23

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: 2014-06-17

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
I20140617000685INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes429314$0
J1100Injection, dexamethasone sodium phosphate, 1 mg34133$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg10348$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count8778$0
36415Insertion of needle into vein for collection of blood sample8777$0
View full utilization report →

Insurance plans in this area (ZIP 72801)

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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: 4981698032View full group profile
NameSpecialtyState
-AR
-AR
Nurse PractitionerAR
General SurgeryOK
Nurse PractitionerAR
-AR
O B S T E T R I C S/ G Y N E C O L O G YAR
Nurse PractitionerTN
Nurse PractitionerAR
Pediatric MedicineAR

Reviews

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Frequently asked questions

Does NOMA WILKINSON KELLNER (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NOMA WILKINSON KELLNER (APRN) uses 1194144964.
Can I rely on NOMA WILKINSON KELLNER (APRN) being an active provider?
As of the registry snapshot, NOMA WILKINSON KELLNER (APRN) is marked active.
What is NOMA WILKINSON KELLNER (APRN)'s primary classification?
Family Nurse Practitioner is the headline specialty for NOMA WILKINSON KELLNER (APRN) here. Clinical services aligned with this taxonomy classification.
Where should I expect NOMA WILKINSON KELLNER (APRN) on a map?
Expect Russellville, Arkansas as a primary anchor for NOMA WILKINSON KELLNER (APRN) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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