MS. KELLI AMBER MARENGO (MNSC, APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1821669979
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for MS. KELLI AMBER MARENGO (MNSC, APRN, PMHNP-BC)
2220 Washington Ave
Conway, AR 720322762
Phone: (501) 679-0232
Fax: (833) 373-0348
Type: Location
3001 W Roosevelt Rd
Little Rock, AR 722045658
Phone: (501) 340-6646
Fax: (501) 975-4129
Type: Location
4301 W MARKHAM ST # 560
LITTLE ROCK, AR 722057101
Phone: (501) 364-1830
Type: Mailing
8 S BROADVIEW ST STE EANDF
GREENBRIER, AR 720589601
Phone: (501) 679-0232
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $71.
Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.
Last reported payment date: 2023-10-05 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($71).
Total Amount
$71
General + Research + Ownership
Payments
1
Total payment records
General Amount
$71
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $71 |
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: 2021-09-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210902002212 | I | Nurse Practitioner | AR | TBD |
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.
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 72032)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | AR | |
| Mental Health Counselor | AR | |
| Nurse Practitioner | AR | |
| Clinical Social Worker | AR | |
| Clinical Social Worker | AR | |
| Clinical Social Worker | AR | |
| Nurse Practitioner | AR | |
| Clinical Social Worker | AR | |
| Mental Health Counselor | AR | |
| Clinical Social Worker | AR |
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