RACHAEL LYNN STAUDER (APRN) – Family Nurse Practitioner, NPI 1093548711

RACHAEL LYNN STAUDER (APRN) is a healthcare provider. based in Russellville, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 229922 (AR). The NPI Number for RACHAEL LYNN STAUDER (APRN) is 1093548711

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
RACHAEL LYNN STAUDER (APRN)
NPI
1093548711
Phone
(479) 498-4661
Address
111 Skyline Dr
Enumeration Date
20 August 2024
Last Update Date
20 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5016246000
Graduation Year
2024 (2 years ago)
PAC ID
8123569290
Group Practice PAC ID
8921274721
Professional Enrollment ID
I20240917003873
Address ID
AR719136240HO115XXSTXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for RACHAEL LYNN STAUDER (APRN)

  • 111 Skyline Dr

    Russellville, AR 728013363

    Phone: (479) 498-4661

    Fax: (501) 321-0710

    Type: Location

  • 115 WRIGHTS ST STE C

    HOT SPRINGS, AR 719136240

    Phone: (501) 321-9803

    Fax: (501) 321-0710

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $121.

Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Amgen Inc. ($54).

Total Amount

$121

General + Research + Ownership

Payments

6

Total payment records

General Amount

$121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2024-09-17

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
I20240917003873INurse 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 72801)

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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: 8921274721View full group profile
NameSpecialtyState
-AR
Nurse PractitionerAR
Internal MedicineAR
Nurse PractitionerAR
Nephrology, Internal MedicineAR
Nephrology, Internal MedicineAR
Nephrology, Internal MedicineAR
-AR
Nephrology, Internal MedicineAR
Nephrology, Internal MedicineAR

Reviews

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Frequently asked questions

How do I look up RACHAEL LYNN STAUDER (APRN) by NPI?
Use NPI 1093548711 when you need to reference RACHAEL LYNN STAUDER (APRN) in forms, claims, or directories.
Is RACHAEL LYNN STAUDER (APRN)'s NPI currently valid?
The extract we use shows RACHAEL LYNN STAUDER (APRN) as active.
What does RACHAEL LYNN STAUDER (APRN) treat or focus on?
Patients typically see RACHAEL LYNN STAUDER (APRN) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for RACHAEL LYNN STAUDER (APRN)?
The page summarizes Russellville, Arkansas for RACHAEL LYNN STAUDER (APRN); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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