Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kelly Glenn Thompson-Davis, APRN

Individual provider Family Nurse Practitioner · NPI 1467043224

Mr. Kelly Glenn Thompson-Davis, APRN is a Nurse Practitioner in Rogers, Arkansas. Qualified in 2020, 6 years ago. Practices with Northwest Benton County Physician Services LLC, a 36-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arkansas.

Years since qualifying
6
Licensed in
AR
In the registry since
2021
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

2000 S 42nd St Ste 100
Rogers, AR 72758-2001
Phone: (479) 273-9173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4253 N Crossover Rd, Fayetteville, AR 72703-4593 — (877) 884-0641

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 214719 (AR)

Record details

NPI number1467043224
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedFebruary 3, 2021
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Northwest Benton County Physician Services Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Rogers