Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly R. McCarty, APRN

Individual provider Family Medicine Physician · NPI 1821619370

Kelly R. McCarty, APRN is a Nurse Practitioner in Fayetteville, Arkansas. Qualified in 2022, 4 years ago. Practices with Ketamine and IV Therapy Clinic of Nwa LLC, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
4
Licensed in
AR
In the registry since
2020
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

5872 W Bannister Dr
Fayetteville, AR 72704-6536
Phone: (479) 276-0939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3608 W Southern Hills Blvd, Rogers, AR 72758-8013 — (479) 633-7052

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 123726 (AR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 123726 (AR)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 123726 (AR)

Record details

NPI number1821619370
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedMay 6, 2020
Last updated in NPPESAugust 4, 2024
Certification dateAugust 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ketamine And Iv Therapy Clinic Of Nwa Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fayetteville