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

Kimberly Grace Anderson

Individual provider Family Nurse Practitioner · NPI 1851085203

Kimberly Grace Anderson is a Nurse Practitioner in Little Rock, Arkansas. Qualified in 2024, 2 years ago. Practices with Elite Medical Group LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
2
Licensed in
AR
In the registry since
2023
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Practice location Address checks out

1501 Aldersgate Rd
Little Rock, AR 72205-6611
Phone: (501) 666-7526
Fax: (501) 660-7876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 123169 (AR)

Record details

NPI number1851085203
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 7, 2023
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Elite Medical Group Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Little Rock