PENNY D CLARDY (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1982703609

PENNY D CLARDY (APRN) is a healthcare provider. based in Springdale, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. A003472 (AR). The NPI Number for PENNY D CLARDY (APRN) is 1982703609

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
PENNY D CLARDY (APRN)
NPI
1982703609
Phone
(479) 750-2020
Address
2400 S 48TH ST
Enumeration Date
21 September 2006
Last Update Date
1 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5013368300
Graduation Year
2010 (16 years ago)
PAC ID
7315123973
Group Practice PAC ID
3173583564
Professional Enrollment ID
I20110516000447
Address ID
AR720346166CO350XXRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

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Provider Addresses for PENNY D CLARDY (APRN)

  • 2400, South 48th Street, Springdale, Washington County, Arkansas, 72762, United States

    SPRINGDALE, AR 727626683

    Phone: (479) 750-2020

    Fax: (479) 750-4843

    Type: Mailing

  • 1, Salem Road, Conway, Faulkner County, Arkansas, 72034, United States

    CONWAY, AR 720346166

    Phone: (501) 336-8300

    Fax: (501) 329-5508

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2023-10-26 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($56).

Total Amount

$56

General + Research + Ownership

Payments

2

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-05-16

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
I20110516000447INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes39854$0
Q3014Telehealth originating site facility fee5118$0
View full utilization report →

Insurance plans in this area (ZIP 72762)

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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: 3173583564View full group profile
NameSpecialtyState
Mental Health CounselorAR
Nurse PractitionerIN
Clinical Social WorkerAR
Clinical Social WorkerAR
-AR
-AR
Mental Health CounselorAR
Mental Health CounselorAR
P S Y C H I A T R YAR
-AR

Reviews

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Frequently asked questions

How do I look up PENNY D CLARDY (APRN) by NPI?
Use NPI 1982703609 when you need to reference PENNY D CLARDY (APRN) in forms, claims, or directories.
Is PENNY D CLARDY (APRN) currently active in the NPI registry?
CMS-published data lists PENNY D CLARDY (APRN) as an active registrant.
What kind of provider is PENNY D CLARDY (APRN)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for PENNY D CLARDY (APRN). Clinical services aligned with this taxonomy classification.
Where is PENNY D CLARDY (APRN)'s primary listing?
We display Springdale, Arkansas because that is what the record indicates for PENNY D CLARDY (APRN).
What if Springdale, Arkansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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