KAILEY MARIE FENDER – Speech-Language Pathologist, NPI 1902580905

KAILEY MARIE FENDER is a healthcare provider. based in Jonesboro, Arkansas. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. The NPI Number for KAILEY MARIE FENDER is 1902580905

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KAILEY MARIE FENDER
NPI
1902580905
Phone
(870) 336-8100
Address
3127 SOUTHWEST DR
Enumeration Date
12 June 2023
Last Update Date
12 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9723872824
Graduation Year
2023 (3 years ago)
PAC ID
0345680831
Group Practice PAC ID
3971949520
Professional Enrollment ID
I20240501001594
Address ID
TX752302068DA12700RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

99 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in AR

Provider Addresses for KAILEY MARIE FENDER

  • 3127 SOUTHWEST DR

    JONESBORO, AR 724048404

    Phone: (870) 336-8100

    Type: Mailing

  • 1268 ELECTRIC AVE

    SPRINGDALE, AR 727647498

    Phone: (479) 750-1500

    Fax: (479) 777-2800

    Type: Location

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: 2024-05-01

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
I20240501001594IQualified Speech Language PathologistTXTBD

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

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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 72404)

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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: 3971949520View full group profile
NameSpecialtyState
Qualified Speech Language PathologistGA
Qualified Speech Language PathologistTX
Qualified AudiologistTX
Qualified Speech Language PathologistTX
Qualified Speech Language PathologistTX

Reviews

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Frequently asked questions

What is KAILEY MARIE FENDER's NPI number?
KAILEY MARIE FENDER's NPI is 1902580905 — the number used across U.S. healthcare to identify this provider.
Is KAILEY MARIE FENDER still an active registrant?
KAILEY MARIE FENDER carries an active NPI according to the public dataset.
What kind of doctor is KAILEY MARIE FENDER?
KAILEY MARIE FENDER is associated with Speech-Language Pathologist in the directory — Clinical services aligned with this taxonomy classification.
Is KAILEY MARIE FENDER located near Jonesboro?
KAILEY MARIE FENDER currently maps to Jonesboro, Arkansas in this extract.
Can I trust this NPI listing for KAILEY MARIE FENDER?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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