TRUDY REDDICK (PA C) – Physician Assistant, NPI 1194753095

TRUDY REDDICK (PA C) is a healthcare provider. based in Apache junction, Arizona. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA C. They hold a License No. 3221 (AZ). The NPI Number for TRUDY REDDICK (PA C) is 1194753095

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
TRUDY REDDICK (PA C)
NPI
1194753095
Phone
(623) 330-3222
Address
5347 E 10TH AVE
Enumeration Date
29 June 2006
Last Update Date
10 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
8628096377
Professional Enrollment ID
I20250910000355
Address ID
OK731125468OK3030XEXPR308
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,685 PHYSICIAN ASSISTANT in AZ

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Provider Addresses for TRUDY REDDICK (PA C)

  • 5347, East 10th Avenue, Apache Junction, Pinal County, Arizona, 85119, United States

    APACHE JUNCTION, AZ 851199346

    Phone: (623) 330-3222

    Type: Mailing

  • West McDowell Road, Avondale, Maricopa County, Arizona, 85323, United States

    STE D106

    AVONDALE, AZ 853236436

    Phone: (480) 776-1588

    Fax: (623) 547-0521

    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: 2025-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20051110000691IPhysician AssistantAZTBD
I20250910000355IPhysician AssistantNCTBD

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
99285Emergency department visit with high level of medical decision making2727$0
99284Emergency department visit with moderate level of medical decision making2626$0
View full utilization report →

Insurance plans in this area (ZIP 85119)

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Reviews

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Frequently asked questions

What unique ID ties claims to TRUDY REDDICK (PA C)?
NPI 1194753095 is assigned to TRUDY REDDICK (PA C) under the national enumeration system.
Is TRUDY REDDICK (PA C) currently active in the NPI registry?
CMS-published data lists TRUDY REDDICK (PA C) as an active registrant.
What field does TRUDY REDDICK (PA C) work in?
You can think of TRUDY REDDICK (PA C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for TRUDY REDDICK (PA C)?
The page summarizes Apache Junction, Arizona for TRUDY REDDICK (PA C); expand the address list for detail.
What if Apache Junction, Arizona seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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