CANDACE KEELIN (NP) – Family Nurse Practitioner, NPI 1962101113

CANDACE KEELIN (NP) is a healthcare provider. based in Russellville, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 120947 (AR). The NPI Number for CANDACE KEELIN (NP) is 1962101113

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
CANDACE KEELIN (NP)
NPI
1962101113
Phone
(855) 498-6767
Address
PO BOX 9178
Enumeration Date
27 February 2023
Last Update Date
27 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5014082429
Graduation Year
2018 (8 years ago)
PAC ID
6608240015
Group Practice PAC ID
5597195206
Professional Enrollment ID
I20230327002231
Address ID
AR720153745BE5XXXXDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,434 NURSE PRACTITIONER in AR

Provider Addresses for CANDACE KEELIN (NP)

  • PO BOX 9178

    RUSSELLVILLE, AR 728119178

    Phone: (855) 498-6767

    Fax: (479) 968-1673

    Type: Mailing

  • 200 RIVER MARKET AVE STE 100

    LITTLE ROCK, AR 722011762

    Phone: (501) 492-0099

    Fax: (479) 968-1673

    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: 2023-03-27

PECOS data refreshed: 2026-06-15

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
I20230327002231INurse 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
G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi17245$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes11945$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes5131$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1513$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 72811)

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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: 5597195206View full group profile
NameSpecialtyState
Internal MedicineAR
Internal MedicineAR
Internal MedicineTX
Internal MedicinePA
Nurse PractitionerAR
Internal MedicineAR
Nurse PractitionerAR
Nurse PractitionerAR
Internal Medicine, Pediatric MedicineAR
Physician AssistantAR

Reviews

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Frequently asked questions

How do I look up CANDACE KEELIN (NP) by NPI?
Use NPI 1962101113 when you need to reference CANDACE KEELIN (NP) in forms, claims, or directories.
Is CANDACE KEELIN (NP) currently active in the NPI registry?
CMS-published data lists CANDACE KEELIN (NP) as an active registrant.
What kind of provider is CANDACE KEELIN (NP)?
The page reflects Family Nurse Practitioner for CANDACE KEELIN (NP). Clinical services aligned with this taxonomy classification.
What location metadata exists for CANDACE KEELIN (NP)?
The page summarizes Russellville, Arkansas for CANDACE KEELIN (NP); expand the address list for detail.
Is CANDACE KEELIN (NP) a real provider?
This page reflects official NPPES data for NPI 1962101113. Always confirm identity and privileges with the practice and licensing boards.

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