SHELLY RAE EASTRIDGE (APRN-CNP) – Family Nurse Practitioner, NPI 1790344166
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SHELLY RAE EASTRIDGE (APRN-CNP)
182 FROGLEVEL RD
HORATIO, AR 718428915
Phone: (870) 784-4055
Type: Mailing
500, East Collin Raye Drive, De Queen, Sevier County, Arkansas, 71832, United States
DE QUEEN, AR 718328048
Phone: (870) 584-1053
Fax: (870) 584-2087
Type: Location
1357 W COLLIN RAYE DR
DE QUEEN, AR 718322946
Phone: (870) 518-4388
Fax: (870) 518-4350
Type: Mailing
108 SOUTH MADDEN
FOREMAN, AR 71836
Phone: (870) 584-3000
Fax: (870) 584-3003
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: 2019-08-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190817000054 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 71842)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AR | |
| - | OK | |
| - | AR | |
| - | AR |
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