MRS. KELLY KAY MALONE (ANP) – Nurse Practitioner, NPI 1417173139

MRS. KELLY KAY MALONE (ANP) is a healthcare provider. based in Paragould, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP. They hold a License No. A02931 ANP (AR). The NPI Number for MRS. KELLY KAY MALONE (ANP) is 1417173139

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY KAY MALONE (ANP)
NPI
1417173139
Phone
(870) 236-2202
Address
1 MEDICAL DR
Enumeration Date
18 April 2007
Last Update Date
30 September 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8709356729
Graduation Year
2006 (20 years ago)
PAC ID
1456421510
Group Practice PAC ID
7012311269
Professional Enrollment ID
I20080531000100
Address ID
AR724014163JO201XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for MRS. KELLY KAY MALONE (ANP)

  • 1 MEDICAL DR

    STE 603

    PARAGOULD, AR 724504017

    Phone: (870) 236-2202

    Fax: (870) 236-8428

    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 6 Open Payments records for all available years, with a total value of $294.

Total Amount is formed as General ($294) + Research ($0) + Ownership ($0) = $294.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($140).

Total Amount

$294

General + Research + Ownership

Payments

6

Total payment records

General Amount

$294

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2008-05-31

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
I20080531000100INurse 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 minutes6457$0
99203New patient office or other outpatient visit, 30-44 minutes2626$0
99214Established patient office or other outpatient visit, 30-39 minutes2118$0
View full utilization report →

Insurance plans in this area (ZIP 72450)

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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: 7012311269View full group profile
NameSpecialtyState
Nurse PractitionerMO
U R O L O G YAR
Nurse PractitionerAR
Pulmonary DiseaseAR
Nurse PractitionerAR
Family PracticeAR
Nurse PractitionerAR
N E U R O L O G YCA
Nurse PractitionerAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

Is there an official ID for MRS. KELLY KAY MALONE (ANP) in U.S. healthcare records?
The official identifier for MRS. KELLY KAY MALONE (ANP) is NPI 1417173139.
Is there an active status for MRS. KELLY KAY MALONE (ANP)?
For scheduling context, MRS. KELLY KAY MALONE (ANP) is shown as active in the registry.
What area of care is associated with MRS. KELLY KAY MALONE (ANP)?
MRS. KELLY KAY MALONE (ANP)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. KELLY KAY MALONE (ANP)?
Directory geography for MRS. KELLY KAY MALONE (ANP) centers on Paragould, Arkansas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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