ADRIENNE RENEE MCCUTCHEON (APRN) – Family Nurse Practitioner, NPI 1023614880

ADRIENNE RENEE MCCUTCHEON (APRN) is a healthcare provider. based in Jonesboro, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 212997 (AR). The NPI Number for ADRIENNE RENEE MCCUTCHEON (APRN) is 1023614880

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ADRIENNE RENEE MCCUTCHEON (APRN)
NPI
1023614880
Phone
(870) 275-3820
Address
6021 Beaver Creek Ln
Enumeration Date
8 December 2020
Last Update Date
14 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8707062353
Graduation Year
2020 (6 years ago)
PAC ID
4688079205
Group Practice PAC ID
5890077093
Professional Enrollment ID
I20210819003317
Address ID
AR726532714MO1607XEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for ADRIENNE RENEE MCCUTCHEON (APRN)

  • 6021 Beaver Creek Ln

    Jonesboro, AR 724049558

    Phone: (870) 275-3820

    Type: Location

  • 5510 Southwest Dr

    Jonesboro, AR 724048351

    Phone: (870) 641-4471

    Fax: (870) 206-7068

    Type: Location

  • 1301 Highway 62 E

    Mountain Home, AR 726532708

    Phone: (870) 970-7140

    Fax: (870) 701-3181

    Type: Location

  • 2816 Fox Meadow Ln

    Jonesboro, AR 724049346

    Phone: (870) 336-1675

    Type: Location

  • PO BOX 497

    AUGUSTA, AR 720060497

    Phone: (870) 347-2534

    Type: Mailing

  • 2816 FOX MEADOW LN

    JONESBORO, AR 724049346

    Phone: (870) 336-1675

    Type: Location

  • 4196 HIGHWAY 62 412 STE A

    HARDY, AR 725428002

    Phone:

    Type: Mailing

  • 1607 HIGHWAY 62 E

    MOUNTAIN HOME, AR 726532714

    Phone: (870) 706-2353

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $79.

Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($41).

Total Amount

$79

General + Research + Ownership

Payments

4

Total payment records

General Amount

$79

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-08-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20210819003317INurse PractitionerARTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72404)

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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: 5890077093View full group profile
NameSpecialtyState
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerOK
Family Practice, Geriatric MedicineAR
-AR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
-AR
Certified Clinical Nurse Specialist (Cns)AR

Reviews

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Frequently asked questions

What unique ID ties claims to ADRIENNE RENEE MCCUTCHEON (APRN)?
NPI 1023614880 is assigned to ADRIENNE RENEE MCCUTCHEON (APRN) under the national enumeration system.
Is ADRIENNE RENEE MCCUTCHEON (APRN) active in the national directory?
ADRIENNE RENEE MCCUTCHEON (APRN)'s public NPI profile is in an active state.
What field does ADRIENNE RENEE MCCUTCHEON (APRN) work in?
You can think of ADRIENNE RENEE MCCUTCHEON (APRN) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is ADRIENNE RENEE MCCUTCHEON (APRN)'s primary listing?
We display Jonesboro, Arkansas because that is what the record indicates for ADRIENNE RENEE MCCUTCHEON (APRN).
What if Jonesboro, Arkansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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