GRETCHEN KEYSE (CNP) – Family Nurse Practitioner, NPI 1356744585

GRETCHEN KEYSE (CNP) is a healthcare provider. based in Dardanelle, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. A004104 (AR). The NPI Number for GRETCHEN KEYSE (CNP) is 1356744585

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
GRETCHEN KEYSE (CNP)
NPI
1356744585
Phone
(479) 229-2827
Address
215 N 4TH ST
Enumeration Date
2 October 2014
Last Update Date
2 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3618528255
Graduation Year
2013 (13 years ago)
PAC ID
9133445190
Group Practice PAC ID
9739260019
Professional Enrollment ID
I20190725002816
Address ID
TX784114420CO4025XDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for GRETCHEN KEYSE (CNP)

  • 215 N 4TH ST

    PO BOX 637

    DARDANELLE, AR 728343713

    Phone: (479) 229-2827

    Fax: (479) 229-5749

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-07-25

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
I20190725002816INurse PractitionerTXTBD

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 72834)

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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: 9739260019View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to GRETCHEN KEYSE (CNP)?
NPI 1356744585 is assigned to GRETCHEN KEYSE (CNP) under the national enumeration system.
Is GRETCHEN KEYSE (CNP)'s NPI currently valid?
The extract we use shows GRETCHEN KEYSE (CNP) as active.
Does GRETCHEN KEYSE (CNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for GRETCHEN KEYSE (CNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for GRETCHEN KEYSE (CNP)?
The page summarizes Dardanelle, Arkansas for GRETCHEN KEYSE (CNP); expand the address list for detail.
Is GRETCHEN KEYSE (CNP) a real provider?
This page reflects official NPPES data for NPI 1356744585. Always confirm identity and privileges with the practice and licensing boards.

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