KATHLEEN JOY PRINNER (ACNS-BC) – Adult Health Clinical Nurse Specialist, NPI 1386071785

KATHLEEN JOY PRINNER (ACNS-BC) is a healthcare provider. based in Mountain home, Arkansas. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials ACNS-BC. They hold a License No. S002282 (AR). The NPI Number for KATHLEEN JOY PRINNER (ACNS-BC) is 1386071785

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN JOY PRINNER (ACNS-BC)
NPI
1386071785
Phone
(870) 508-3200
Address
628 HOSPITAL DR
Enumeration Date
30 September 2013
Last Update Date
10 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8704253291
Graduation Year
2010 (16 years ago)
PAC ID
3173754611
Group Practice PAC ID
0042389264
Professional Enrollment ID
I20140325002018
Address ID
AR726532953MO628XXDRXX302

Contacts

Secure Messaging
kathleen.prinner@bhcawep.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

44 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in AR

Provider Addresses for KATHLEEN JOY PRINNER (ACNS-BC)

  • 628 HOSPITAL DR

    SUITE 3E

    MOUNTAIN HOME, AR 726532953

    Phone: (870) 508-3200

    Fax: (870) 508-1359

    Type: Mailing

  • PO BOX 958539

    SAINT LOUIS, MO 631958539

    Phone: (870) 508-3200

    Fax: (870) 508-1359

    Type: Mailing

  • 628 HOSPITAL DR STE 1-A

    MOUNTAIN HOME, AR 726532946

    Phone: (870) 508-3200

    Fax: (870) 508-1359

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $227.

Total Amount is formed as General ($227) + Research ($0) + Ownership ($0) = $227.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Silk Road Medical, Inc. ($119).

Total Amount

$227

General + Research + Ownership

Payments

13

Total payment records

General Amount

$227

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

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: 2014-03-25

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
I20140325002018ICertified Clinical Nurse Specialist (Cns)ARTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2711$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2011$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1717$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 72653)

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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: 0042389264View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TN
-AR
-AR
Physician AssistantAR
Thoracic SurgeryCT
-ME
O B S T E T R I C S/ G Y N E C O L O G YAR
Nurse PractitionerMO
-AR
G A S T R O E N T E R O L O G YAR

Reviews

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Frequently asked questions

How is KATHLEEN JOY PRINNER (ACNS-BC) identified in CMS data?
CMS-hosted NPPES data lists KATHLEEN JOY PRINNER (ACNS-BC) with NPI 1386071785.
Can I rely on KATHLEEN JOY PRINNER (ACNS-BC) being an active provider?
As of the registry snapshot, KATHLEEN JOY PRINNER (ACNS-BC) is marked active.
What is KATHLEEN JOY PRINNER (ACNS-BC)'s primary classification?
Adult Health Clinical Nurse Specialist is the headline specialty for KATHLEEN JOY PRINNER (ACNS-BC) here. Clinical services aligned with this taxonomy classification.
Where is KATHLEEN JOY PRINNER (ACNS-BC) based?
KATHLEEN JOY PRINNER (ACNS-BC) is tied to Mountain Home, Arkansas in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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