MRS. KELLY KAYE JESTER (CNP) – Adult Health Nurse Practitioner, NPI 1629320858

MRS. KELLY KAYE JESTER (CNP) is a healthcare provider. based in Jonesboro, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. A003770 (AR). The NPI Number for MRS. KELLY KAYE JESTER (CNP) is 1629320858

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY KAYE JESTER (CNP)
NPI
1629320858
Phone
(870) 935-1242
Address
1005 E MATTHEWS AVE
Enumeration Date
11 October 2012
Last Update Date
13 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8709351242
Graduation Year
2012 (14 years ago)
PAC ID
6305097932
Group Practice PAC ID
7012311269
Professional Enrollment ID
I20121108000092
Address ID
AR724014308JO1005XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for MRS. KELLY KAYE JESTER (CNP)

  • 1005 E MATTHEWS AVE

    JONESBORO, AR 724014308

    Phone: (870) 935-1242

    Fax: (870) 934-0144

    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 $229.

Total Amount is formed as General ($229) + Research ($0) + Ownership ($0) = $229.

Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($98).

Total Amount

$229

General + Research + Ownership

Payments

6

Total payment records

General Amount

$229

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-31

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: 2012-11-08

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
I20121108000092INurse 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 72401)

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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
U R O L O G YAR
Nurse PractitionerAR
Pulmonary DiseaseAR
Family PracticeAR
Family PracticeAR
Nurse PractitionerAR
N E U R O L O G YCA
Nurse PractitionerAR
Nurse PractitionerAR
Family PracticeAR

Reviews

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Frequently asked questions

Does MRS. KELLY KAYE JESTER (CNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. KELLY KAYE JESTER (CNP) uses 1629320858.
Can I rely on MRS. KELLY KAYE JESTER (CNP) being an active provider?
As of the registry snapshot, MRS. KELLY KAYE JESTER (CNP) is marked active.
What is MRS. KELLY KAYE JESTER (CNP)'s primary classification?
Adult Health Nurse Practitioner is the headline specialty for MRS. KELLY KAYE JESTER (CNP) here. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. KELLY KAYE JESTER (CNP) on a map?
Expect Jonesboro, Arkansas as a primary anchor for MRS. KELLY KAYE JESTER (CNP) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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