MIKKA ELIZABETH FENLEY (APRN) – Nurse Practitioner, NPI 1821690884

Nurse Practitioner

MIKKA ELIZABETH FENLEY (APRN) is a healthcare provider. based in Marshall, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 213280 (AR). The NPI Number for MIKKA ELIZABETH FENLEY (APRN) is 1821690884

Main info

Female

6 Years Of Experience

Accepts Medicare Assignment

Name

MIKKA ELIZABETH FENLEY (APRN)

NPI

1821690884

Phone

(501) 358-6145

Address

PO BOX 1060

Enumeration Date

13 November 2020

Last Update Date

17 June 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8886023647

Graduation Year

2020 (6 years ago)

PAC ID

3779995246

Group Practice PAC ID

3870401722

Professional Enrollment ID

I20201208001063

Address ID

AR721319289QU130XXSTXX300

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience34

Completeness85

Years active:5State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for MIKKA ELIZABETH FENLEY (APRN)

PO BOX 1060
MARSHALL, AR 726501060
Phone: (501) 358-6145
Fax: (501) 504-6642
Type: Mailing
130 4TH ST
QUITMAN, AR 721319289
Phone: (888) 602-3647
Fax: (888) 571-3256
Type: Location
525 WESTERN AVE STE 305A
CONWAY, AR 720344982
Phone: (501) 358-6145
Fax: (501) 504-6642
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-12-08

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

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
I20201208001063	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
87428	Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	25	24	$0
81003	Automated urinalysis test	22	20	$0

View full utilization report →

Insurance plans in this area (ZIP 72650)

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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: 3870401722View full group profile

Name	Specialty	State
STARLA LYNNETTE SMITH (NP)	Nurse Practitioner	AR
JUSTIN ALLEN (MD)	Family Practice	AR
ANGELA GAIL DODD (APRN)	Nurse Practitioner	AR
LAURA MASSEY (MD)	Family Practice	AR
CAITLIN BAILEY CARTER (DNP, APRN, FNP-C)	Nurse Practitioner	AR
Unknown Individual	-	AR
TAMRA T LAMER (APRN)	-	AR
KAYLA BROOKE SPEIGHTS (APRN)	Nurse Practitioner	AR
DUSTIN SAMUEL BENTLEY (APRN)	Nurse Practitioner	AR
TESSA SPARKS	Nurse Practitioner	AR

Reviews

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Frequently asked questions

What number should I use to identify MIKKA ELIZABETH FENLEY (APRN) for billing?

Administrative and clinical systems typically use NPI 1821690884 for MIKKA ELIZABETH FENLEY (APRN).

Quick check: is MIKKA ELIZABETH FENLEY (APRN) active?

Public NPPES data shows MIKKA ELIZABETH FENLEY (APRN) with an active NPI status right now.

What does the directory say MIKKA ELIZABETH FENLEY (APRN) does?

Insurance directories may phrase it differently, but here MIKKA ELIZABETH FENLEY (APRN) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.

Is MIKKA ELIZABETH FENLEY (APRN) tied to Marshall, Arkansas?

If you are local to Marshall, Arkansas, MIKKA ELIZABETH FENLEY (APRN) may be relevant to your search.

Can I export MIKKA ELIZABETH FENLEY (APRN)'s record?

You can download the official NPPES record; we summarize key fields for readability.