CASSIDY WIKOFF (DNP, ACNP-AG, FNP) – Acute Care Nurse Practitioner, NPI 1396824264

CASSIDY WIKOFF (DNP, ACNP-AG, FNP) is a healthcare provider. based in Little rock, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, ACNP-AG, FNP. They hold a License No. GAA-NP000101 (GA). The NPI Number for CASSIDY WIKOFF (DNP, ACNP-AG, FNP) is 1396824264

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
CASSIDY WIKOFF (DNP, ACNP-AG, FNP)
NPI
1396824264
Phone
(501) 680-8025
Address
1701 S Shackleford Rd
Enumeration Date
3 November 2006
Last Update Date
21 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5012021500
Graduation Year
2005 (21 years ago)
PAC ID
7911002795
Group Practice PAC ID
7911802079
Professional Enrollment ID
I20070424000302
Address ID
AR722056377LI9500XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for CASSIDY WIKOFF (DNP, ACNP-AG, FNP)

  • 1701 S Shackleford Rd

    Little Rock, AR 722114335

    Phone: (501) 680-8025

    Type: Location

  • 9500 KANIS RD STE 410

    LITTLE ROCK, AR 722056377

    Phone: (501) 202-1500

    Type: Location

  • 434 STONERIDGE RD

    AUSTIN, AR 720078052

    Phone: (501) 744-8262

    Type: Mailing

  • Arkansas Heart Hospital, 1701, South Shackleford Road, Little Rock, Pulaski County, Arkansas, 72211, United States

    LITTLE ROCK, AR 722114335

    Phone: (501) 680-8025

    Type: Location

  • 5, Majestic Cove, Maumelle, Hill Township, Pulaski County, Arkansas, 72113, United States

    MAUMELLE, AR 721136289

    Phone: (501) 680-8025

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $430.

Total Amount is formed as General ($430) + Research ($0) + Ownership ($0) = $430.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Abbott Laboratories ($129).

Total Amount

$430

General + Research + Ownership

Payments

17

Total payment records

General Amount

$430

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

Latest reported date

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: 2021-06-29

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
I20070424000302INurse PractitionerARTBD
I20210629000749INurse PractitionerGATBD

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 72211)

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Provider's Procedures

CASSIDY WIKOFF (DNP, ACNP-AG, FNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERAR93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report3736

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: 7911802079View full group profile
NameSpecialtyState
-AR
-AR
-AR
Diagnostic Radiology, Interventional RadiologyAR
-AR
-AR
-AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR

Reviews

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Frequently asked questions

What NPI should I save for CASSIDY WIKOFF (DNP, ACNP-AG, FNP)?
Save NPI 1396824264 if you need a stable reference for CASSIDY WIKOFF (DNP, ACNP-AG, FNP).
Is CASSIDY WIKOFF (DNP, ACNP-AG, FNP) active in the national directory?
CASSIDY WIKOFF (DNP, ACNP-AG, FNP)'s public NPI profile is in an active state.
What field does CASSIDY WIKOFF (DNP, ACNP-AG, FNP) work in?
You can think of CASSIDY WIKOFF (DNP, ACNP-AG, FNP) as practicing within Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is CASSIDY WIKOFF (DNP, ACNP-AG, FNP)'s primary listing?
We display Little Rock, Arkansas because that is what the record indicates for CASSIDY WIKOFF (DNP, ACNP-AG, FNP).
Is CASSIDY WIKOFF (DNP, ACNP-AG, FNP) a real provider?
This page reflects official NPPES data for NPI 1396824264. Always confirm identity and privileges with the practice and licensing boards.

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