ALLI KRISTEN BROOKS (PA-C) – Physician Assistant, NPI 1831686831
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
629 PHYSICIAN ASSISTANT in AR
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Provider Addresses for ALLI KRISTEN BROOKS (PA-C)
50, Wentworth Drive, Bella Vista, Benton County, Arkansas, 72715, United States
BELLA VISTA, AR 727156514
Phone: (479) 619-7719
Type: Mailing
616, South 17th Street, Fort Smith, Sebastian County, Arkansas, 72901, United States
FORT SMITH, AR 729014700
Phone: (479) 434-3011
Fax: (479) 434-3014
Type: Location
50 WENTWORTH DR
BELLA VISTA, AR 727156514
Phone: (479) 619-7719
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $722.
Total Amount is formed as General ($722) + Research ($0) + Ownership ($0) = $722.
Last reported payment date: 2023-05-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($230).
Total Amount
$722
General + Research + Ownership
Payments
7
Total payment records
General Amount
$722
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $230 |
| ITI, Inc. | $135 |
| IDORSIA PHARMACEUTICALS US INC | $109 |
| ABBVIE INC. | $89 |
| Otsuka America Pharmaceutical, Inc. | $87 |
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: 2024-03-18
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 |
|---|---|---|---|---|
| I20240318000696 | I | Physician Assistant | CA | 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 72715)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| U R O L O G Y | NV | |
| Certified Nurse Midwife (Cnm) | MO | |
| Family Practice | WI | |
| U R O L O G Y | NV | |
| Physician Assistant | MI | |
| Family Practice | CA | |
| Diagnostic Radiology | WI | |
| Diagnostic Radiology | NV | |
| Family Practice | CA |
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