MRS. RENETTA RUTH NICHOLS (MSN, APRN, FNP-C) – Family Nurse Practitioner, NPI 1487194346
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for MRS. RENETTA RUTH NICHOLS (MSN, APRN, FNP-C)
2158 BUTTERFIELD COACH RD STE 100
SPRINGDALE, AR 727649142
Phone: (479) 757-5026
Fax: (479) 757-5028
Type: Mailing
101 Sun Meadow Dr
Centerton, AR 727199610
Phone: (479) 795-0426
Type: Location
101, Sun Meadow Drive, Centerton, Benton County, Arkansas, 72719, United States
CENTERTON, AR 727199610
Phone: (479) 795-0426
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-03-24
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 |
|---|---|---|---|---|
| I20170324000573 | 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 | 147 | 62 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 17 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 72764)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Orthopedic Surgery | AR | |
| Nurse Practitioner | AR | |
| Thoracic Surgery | AR | |
| Orthopedic Surgery, Sports Medicine | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| Orthopedic Surgery | AR |
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