SHUNDRICKA ROCHELLE REDDICK (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1407301724
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for SHUNDRICKA ROCHELLE REDDICK (NURSE PRACTITIONER)
4201 S Mulberry St
Pine Bluff, AR 716037016
Phone: (870) 541-8660
Type: Location
4201, Skyline Drive, Pine Bluff, Jefferson County, Arkansas, 71603, United States
PINE BLUFF, AR 716037743
Phone: (870) 692-7336
Type: Mailing
South Gould Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73129, United States
GOULD, AR 716435041
Phone: (870) 263-4317
Fax: (870) 263-4782
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 $132.
Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.
Last reported payment date: 2024-05-14 • Largest payer in this snapshot: ABBVIE INC. ($78).
Total Amount
$132
General + Research + Ownership
Payments
4
Total payment records
General Amount
$132
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-14
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-05-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170525000308 | I | Nurse Practitioner | AR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 71603)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Family Practice, Emergency Medicine | AR | |
| Emergency Medicine, Family Practice | AR | |
| Nurse Practitioner | AR | |
| Emergency Medicine | AR | |
| Nurse Practitioner | AR | |
| - | TX | |
| - | AR |
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