LINDA LAVERNE KEDDINGTON (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1760675953

LINDA LAVERNE KEDDINGTON (APRN) is a healthcare provider. based in Fairbanks, Alaska. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 30177 (MT). The NPI Number for LINDA LAVERNE KEDDINGTON (APRN) is 1760675953

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
LINDA LAVERNE KEDDINGTON (APRN)
NPI
1760675953
Phone
(406) 579-7101
Address
PO BOX 58621
Enumeration Date
22 August 2007
Last Update Date
4 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7204323379
Graduation Year
2007 (19 years ago)
PAC ID
6204923493
Group Practice PAC ID
4486054657
Professional Enrollment ID
I20190610002765
Address ID
CO805253689FO2726XDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness75
Years active:18State licenses:4Digital endpointsOther names

762 NURSE PRACTITIONER in AK

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Provider Addresses for LINDA LAVERNE KEDDINGTON (APRN)

  • PO BOX 58621

    FAIRBANKS, AK 997110621

    Phone: (406) 579-7101

    Type: Mailing

  • 315, 5th Avenue, South Fairbanks, Fairbanks, Fairbanks North Star, Alaska, 99701, United States

    FAIRBANKS, AK 997015025

    Phone: (406) 579-7101

    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: 2019-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20170623002254INurse PractitionerAKTBD
I20190610002765INurse PractitionerCOTBD
I20191125000269INurse PractitionerORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes21577$0
99213Established patient office or other outpatient visit, 20-29 minutes11967$0
90833Psychotherapy with evaluation and management visit, 30 minutes6340$0
99215Established patient office or other outpatient visit, 40-54 minutes2314$0
View full utilization report →

Insurance plans in this area (ZIP 99711)

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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: 4486054657View full group profile
NameSpecialtyState
Nurse PractitionerCO
Nurse PractitionerTN

Reviews

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Frequently asked questions

What is the 10-digit NPI for LINDA LAVERNE KEDDINGTON (APRN)?
LINDA LAVERNE KEDDINGTON (APRN) — NPI 1760675953 — is the standard way to identify this listing.
Is LINDA LAVERNE KEDDINGTON (APRN) still practicing?
LINDA LAVERNE KEDDINGTON (APRN) is currently listed as active in the public NPI registry.
What is LINDA LAVERNE KEDDINGTON (APRN)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for LINDA LAVERNE KEDDINGTON (APRN) here. Clinical services aligned with this taxonomy classification.
What area does LINDA LAVERNE KEDDINGTON (APRN) serve?
LINDA LAVERNE KEDDINGTON (APRN)'s listing highlights Fairbanks, Alaska; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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