ANAIDRA L REESE (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1104476423
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANAIDRA L REESE (NURSE PRACTITIONER)
3300 S Fiske Blvd
Rockledge, FL 329554306
Phone: (321) 434-5112
Type: Location
6363 N State Highway 161 Ste 100
Irving, TX 750382239
Phone: (469) 200-3272
Type: Location
14321 Winter Breeze Dr
Midlothian, VA 231132452
Phone: (833) 452-9772
Fax: (888) 442-6953
Type: Location
2079, South Evergreen Drive, Whipporwill Estates, Auburn, Lee County, Alabama, 36830, United States
AUBURN, AL 368306942
Phone: (334) 559-5071
Fax: (334) 203-9451
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2023-08-02 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $17 |
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: 2023-02-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 11 Medicare enrollment records; no due dates published yet.
Enrollment records
11
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 |
|---|---|---|---|---|
| I20191218002582 | I | Nurse Practitioner | AL | TBD |
| I20211222001204 | I | Nurse Practitioner | TX | TBD |
| I20220525001269 | I | Nurse Practitioner | OR | TBD |
| I20220621000893 | I | Nurse Practitioner | IA | TBD |
| I20220927001015 | I | Nurse Practitioner | FL | TBD |
| I20221221002071 | I | Nurse Practitioner | VA | TBD |
| I20221227001433 | I | Nurse Practitioner | MD | TBD |
| I20221227002450 | I | Nurse Practitioner | DC | TBD |
| I20230123001324 | I | Nurse Practitioner | CO | TBD |
| I20230208001217 | I | Nurse Practitioner | AZ | TBD |
| I20230214001784 | I | Nurse Practitioner | TN | 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 32955)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | AL | |
| - | AL | |
| Internal Medicine | TN | |
| Internal Medicine, Gastroenterology | AL | |
| - | FL | |
| Internal Medicine | AL | |
| Internal Medicine | OH | |
| Internal Medicine | AL | |
| Internal Medicine | AL | |
| Internal Medicine | AL |
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