Kelli Keene Sanders


Address: 505 W Pershing Blvd, Suite B, North Little Rock, AR 72114-2157

Kelli Keene Sanders (NPI# 1972617397, PAC ID# 5890712921) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1972617397
PAC ID by PECOS 5890712921
Professional Enrollment ID I20051028000206
Full Name Kelli Keene Sanders
Address 505 W Pershing Blvd
Suite B
North Little Rock
AR 72114-2157
Gender M
Credential MD
Medical School UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year 1993
Primary Specialty FAMILY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
040036 BAPTIST HEALTH MEDICAL CENTER NORTH LITTLE ROCK
040114 BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK
040137 ST VINCENT MEDICAL CENTER/NORTH

Other Locations

Address Phone Organization
505 W Pershing Blvd, Suite B, North Little Rock, AR 72114-2157

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 0%
ACI_EC_TRANS_MR_1 Medication Reconciliation 100%
ACI_EC_TRANS_PEA_1 Provide Patient Access 0%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 57%
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 93%
ACI_EC_TRANS_SM_1 Secure Messaging 57%

Organization Information

Office Location

Street Address 505 W PERSHING BLVD
SUITE B
City NORTH LITTLE ROCK
State AR
Zip 72114-2157

Physicians in the same location

Name Specialty Organization Address
Zachary Hunt Physical Therapy 505 W Pershing Blvd, Suite D, North Little Rock, AR 72114-2157

Physicians in the same zip code

Name Specialty Organization Address
Rose Marie Shaw Bullock Family Medicine North Little Rock Primary Care and Diagnostic Clinic Pllc 400 W Pershing Blvd, North Little Rock, AR 72114-2146
Joe L Buford Family Medicine 410 W Pershing Blvd, North Little Rock, AR 72114-2146
Jasmine A Brathwaite Family Medicine Arkansas Health Group 505 W Pershing, Suite C, North Little Rock, AR 72114-2147
Adam P Grant Family Medicine Arkansas Health Group 505 W Pershing, Suite C, North Little Rock, AR 72114-2147
Norman R Pledger Family Practice Arkansas Health Group 505 W Pershing, Suite C, North Little Rock, AR 72114-2147
Kevin Girtman Physician Assistant Arkansas Health Group 505 W Pershing Blvd C, North Little Rock, AR 72114-2157
Mark H Kelso Clinical Social Worker William R. Barling, Acsw, Inc. 2200 Main St, North Little Rock, AR 72114-2302
Elizabeth A Barling Clinical Social Worker William R. Barling, Acsw, Inc. 2200 Main St, North Little Rock, AR 72114-2302
William R Barling Clinical Social Worker William R. Barling, Acsw, Inc. 2200 Main St, North Little Rock, AR 72114-2302
Deborah B Deacon Clinical Social Worker 1920 Main St, Suite 231, North Little Rock, AR 72114-2872
Find all physicians in zip 72114

Competitor

Search similar physicians

City NORTH LITTLE ROCK
Zip Code 72114
Specialty FAMILY MEDICINE
City + Specialty NORTH LITTLE ROCK + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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