KALLY MARIE ELIZABETH SIVAGE – Psychiatric/Mental Health Nurse Practitioner, NPI 1740762905

KALLY MARIE ELIZABETH SIVAGE is a healthcare provider. based in Fort smith, Arkansas. specializing in NURSE PRACTITIONER. They hold a License No. A005843 (AR). The NPI Number for KALLY MARIE ELIZABETH SIVAGE is 1740762905

Main info

Female
Sole Proprietor
8 Years Of Experience
Name
KALLY MARIE ELIZABETH SIVAGE
NPI
1740762905
Phone
(479) 561-9583
Address
119 DARTMOUTH LN
Enumeration Date
4 September 2018
Last Update Date
4 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4794526650
Graduation Year
2018 (8 years ago)
PAC ID
2860746138
Group Practice PAC ID
1355326174
Professional Enrollment ID
I20181127000048
Address ID
AR729035017FO3111XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

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Provider Addresses for KALLY MARIE ELIZABETH SIVAGE

  • 119, Dartmouth Lane, Fort Smith, Sebastian County, Arkansas, 72908, United States

    FORT SMITH, AR 729088200

    Phone: (479) 561-9583

    Type: Mailing

  • Mayo Drive, Barling, Sebastian County, Arkansas, 72923, United States

    BARLING, AR 729231660

    Phone: (479) 494-5700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $961.

Total Amount is formed as General ($961) + Research ($0) + Ownership ($0) = $961.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($513).

Total Amount

$961

General + Research + Ownership

Payments

35

Total payment records

General Amount

$961

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2018-11-27

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
I20181127000048INurse 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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes18937$0
90791Psychiatric diagnostic evaluation3734$0
99238Hospital discharge day management, 30 minutes or less2219$0
View full utilization report →

Insurance plans in this area (ZIP 72908)

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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: 1355326174View full group profile
NameSpecialtyState
Clinical Social WorkerAR
Clinical Social WorkerAR
-AR
Mental Health CounselorAR
Nurse PractitionerAR
-AR
-AR
Mental Health CounselorAR
Clinical Social WorkerAR
Mental Health CounselorAR

Reviews

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Frequently asked questions

What federal number belongs to KALLY MARIE ELIZABETH SIVAGE?
The federal identifier for KALLY MARIE ELIZABETH SIVAGE is NPI 1740762905.
Does this profile mean KALLY MARIE ELIZABETH SIVAGE is currently active?
Yes — KALLY MARIE ELIZABETH SIVAGE appears active in the national provider directory.
What kind of provider is KALLY MARIE ELIZABETH SIVAGE?
The page reflects Psychiatric/Mental Health Nurse Practitioner for KALLY MARIE ELIZABETH SIVAGE. Clinical services aligned with this taxonomy classification.
What location metadata exists for KALLY MARIE ELIZABETH SIVAGE?
The page summarizes Fort Smith, Arkansas for KALLY MARIE ELIZABETH SIVAGE; expand the address list for detail.
How can I contact KALLY MARIE ELIZABETH SIVAGE?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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