DR. KATELYN HALIE CARMICAL (M.D.) – Family Medicine Physician, NPI 1336534411

DR. KATELYN HALIE CARMICAL (M.D.) is a healthcare provider. based in Monticello, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. E12164 (AR). The NPI Number for DR. KATELYN HALIE CARMICAL (M.D.) is 1336534411

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATELYN HALIE CARMICAL (M.D.)
NPI
1336534411
Phone
(870) 367-6867
Address
906 ROBERTS DR
Enumeration Date
6 April 2015
Last Update Date
11 June 2020

Doctor Profile

Medical School Name
UNIVERSITY MEDICAL COLLEGE OF KANSAS CITY
Secondary Phone
8702244411
Graduation Year
2015 (11 years ago)
PAC ID
9436412798
Group Practice PAC ID
3971909805
Professional Enrollment ID
I20200603000019
Address ID
AR716559717MO940XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

Provider Addresses for DR. KATELYN HALIE CARMICAL (M.D.)

  • 906 ROBERTS DR

    MONTICELLO, AR 716555724

    Phone: (870) 367-6867

    Fax: (870) 367-1461

    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 65 Open Payments records for all available years, with a total value of $1,064.

Total Amount is formed as General ($1,064) + Research ($0) + Ownership ($0) = $1,064.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: ABBVIE INC. ($449).

Total Amount

$1,064

General + Research + Ownership

Payments

65

Total payment records

General Amount

$1,064

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

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: 2020-06-03

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
I20200603000019IFamily PracticeARTBD

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
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month16126$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days7212$0
99213Established patient office or other outpatient visit, 20-29 minutes5640$0
36415Insertion of needle into vein for collection of blood sample5539$0
99214Established patient office or other outpatient visit, 30-39 minutes4733$0
View full utilization report →

Insurance plans in this area (ZIP 71655)

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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: 3971909805View full group profile
NameSpecialtyState
Clinical Social WorkerAR
Nurse PractitionerAR
Family Practice, Emergency MedicineTX
Family PracticeTX
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

What is the standard ID for DR. KATELYN HALIE CARMICAL (M.D.) in the U.S.?
In the U.S., DR. KATELYN HALIE CARMICAL (M.D.) is identified by NPI 1336534411.
Does the public listing show DR. KATELYN HALIE CARMICAL (M.D.) as active?
DR. KATELYN HALIE CARMICAL (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. KATELYN HALIE CARMICAL (M.D.)?
NPPES ties DR. KATELYN HALIE CARMICAL (M.D.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KATELYN HALIE CARMICAL (M.D.)?
DR. KATELYN HALIE CARMICAL (M.D.) is associated with Monticello, Arkansas in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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