MRS. KELLY DAWN ROGERS (APN) – Adult Health Clinical Nurse Specialist, NPI 1447329404

MRS. KELLY DAWN ROGERS (APN) is a healthcare provider. based in Jonesboro, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. S02206CNS (AR). The NPI Number for MRS. KELLY DAWN ROGERS (APN) is 1447329404

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY DAWN ROGERS (APN)
NPI
1447329404
Phone
(870) 936-1050
Address
PO BOX 1960
Enumeration Date
6 November 2006
Last Update Date
23 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8709368000
Graduation Year
2006 (20 years ago)
PAC ID
1355444522
Group Practice PAC ID
2961547526
Professional Enrollment ID
I20070307000640
Address ID
AR724058413JO4808XAVEX400
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

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Provider Addresses for MRS. KELLY DAWN ROGERS (APN)

  • Jonesboro Post Office, West Broad Street, Jonesboro, Union County, Illinois, 62952, United States

    JONESBORO, AR 724031960

    Phone: (870) 936-1050

    Fax: (870) 926-2038

    Type: Mailing

  • NEA Baptist Memorial Hospital, 4800, East Johnson Avenue, Jonesboro, Craighead County, Arkansas, 72401, United States

    JONESBORO, AR 724018413

    Phone: (870) 936-0150

    Fax: (870) 936-2038

    Type: Location

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 $67.

Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.

Last reported payment date: 2023-11-02 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($48).

Total Amount

$67

General + Research + Ownership

Payments

3

Total payment records

General Amount

$67

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-02

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: 2007-03-07

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
I20070307000640INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72403)

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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: 2961547526View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAR
Internal MedicineAR
-CA
Nurse PractitionerAR
-AR
-TN
-AR
Nurse PractitionerTN
Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology, Interventional RadiologyTN
Nurse PractitionerAR

Reviews

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Frequently asked questions

What federal number belongs to MRS. KELLY DAWN ROGERS (APN)?
The federal identifier for MRS. KELLY DAWN ROGERS (APN) is NPI 1447329404.
Is MRS. KELLY DAWN ROGERS (APN)'s NPI currently valid?
The extract we use shows MRS. KELLY DAWN ROGERS (APN) as active.
Does MRS. KELLY DAWN ROGERS (APN) list a primary specialty?
If you are matching referrals, note Adult Health Clinical Nurse Specialist for MRS. KELLY DAWN ROGERS (APN). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. KELLY DAWN ROGERS (APN)?
The page summarizes Jonesboro, Arkansas for MRS. KELLY DAWN ROGERS (APN); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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