MISHANN LUEDDERS-EAST (APRN-CNP) – Gerontology Nurse Practitioner, NPI 1366258774

MISHANN LUEDDERS-EAST (APRN-CNP) is a healthcare provider. based in Hardy, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP. They hold a License No. 120637 (AR). The NPI Number for MISHANN LUEDDERS-EAST (APRN-CNP) is 1366258774

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MISHANN LUEDDERS-EAST (APRN-CNP)
NPI
1366258774
Phone
(870) 895-2015
Address
4196 HIGHWAY 62 412 STE A
Enumeration Date
10 December 2024
Last Update Date
10 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4792946085
Graduation Year
2023 (3 years ago)
PAC ID
6608303672
Group Practice PAC ID
5890077093
Professional Enrollment ID
I20250103000028
Address ID
AR727742813WE451XXSTXX300
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 MISHANN LUEDDERS-EAST (APRN-CNP)

  • 4196 HIGHWAY 62 412 STE A

    HARDY, AR 725428002

    Phone: (870) 895-2015

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $75.

Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.

Last reported payment date: 2024-02-08 • Largest payer in this snapshot: ABBVIE INC. ($75).

Total Amount

$75

General + Research + Ownership

Payments

1

Total payment records

General Amount

$75

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$75
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: 2025-01-03

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
I20250103000028INurse 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 72542)

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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 PractitionerAR
Nurse PractitionerOK
Family Practice, Geriatric MedicineAR
-AR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
-AR

Reviews

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Frequently asked questions

Can I cross-check MISHANN LUEDDERS-EAST (APRN-CNP) using NPI 1366258774?
NPI 1366258774 belongs to MISHANN LUEDDERS-EAST (APRN-CNP); compare other details if you need extra assurance.
Is there an active status for MISHANN LUEDDERS-EAST (APRN-CNP)?
For scheduling context, MISHANN LUEDDERS-EAST (APRN-CNP) is shown as active in the registry.
What expertise is attributed to MISHANN LUEDDERS-EAST (APRN-CNP)?
MISHANN LUEDDERS-EAST (APRN-CNP)'s specialty line reads Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MISHANN LUEDDERS-EAST (APRN-CNP)?
Directory geography for MISHANN LUEDDERS-EAST (APRN-CNP) centers on Hardy, Arkansas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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