KRISTIE NEICHALL PEGGINS (FNP) – Adult Health Nurse Practitioner, NPI 1417192931
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,196 NURSE PRACTITIONER in CT
Provider Addresses for KRISTIE NEICHALL PEGGINS (FNP)
1290 SILAS DEANE HWY
WETHERSFIELD, CT 061094337
Phone:
Type: Mailing
1094 KILLINGLY COMMONS DR
DAYVILLE, CT 062412187
Phone: (727) 601-4513
Fax: (813) 940-7440
Type: Location
1325, Eastmoreland Avenue, Medical District, Annesdale Park, Memphis, Shelby County, Tennessee, 38104, United States
SUITE 365
MEMPHIS, TN 381043519
Phone: (901) 272-6030
Fax: (901) 516-8450
Type: Location
Memphis, Shelby County, West Tennessee, Tennessee, United States
DEPT 960
MEMPHIS, TN 38148
Phone: (901) 272-6030
Fax: (901) 516-8450
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: 2026-01-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1017 days ago).
Enrollment records
3
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| I20090804000871 | I | Nurse Practitioner | TN | 2023-08-31 |
| I20240124001737 | I | Nurse Practitioner | MS | TBD |
| I20260102003055 | I | Nurse Practitioner | CT | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 06109)
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