MATTHEW DEDRICK (ARNP) – Family Nurse Practitioner, NPI 1801304530

MATTHEW DEDRICK (ARNP) is a healthcare provider. based in Mount dora, Florida. specializing in Family Nurse Practitioner. They hold the professional credentials ARNP. They hold a License No. ARNP9383368 (FL). The NPI Number for MATTHEW DEDRICK (ARNP) is 1801304530

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW DEDRICK (ARNP)
NPI
1801304530
Phone
(352) 735-3755
Address
18550 US HIGHWAY 441
Enumeration Date
16 January 2018
Last Update Date
9 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3527353755
Graduation Year
2017 (9 years ago)
PAC ID
0345501995
Group Practice PAC ID
5395712764
Professional Enrollment ID
I20180223000671
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for MATTHEW DEDRICK (ARNP)

  • 18550 US HIGHWAY 441

    MOUNT DORA, FL 327576751

    Phone: (352) 735-3755

    Fax: (352) 735-3151

    Mailing address matches the actual address.

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: 2018-02-23

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
I20180223000671INurse PractitionerFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32757)

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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: 5395712764View full group profile
NameSpecialtyState
Nurse PractitionerFL
Internal MedicineFL
-FL
-FL
Internal MedicineFL
Family PracticeFL
Nurse PractitionerFL
-FL
Hospitalist, Internal Medicine, Internal MedicineNY
Internal MedicineFL

Reviews

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Frequently asked questions

Does MATTHEW DEDRICK (ARNP) have a public NPI I can cite?
Public records show MATTHEW DEDRICK (ARNP) under NPI 1801304530.
Should I treat MATTHEW DEDRICK (ARNP) as an active provider?
Patients and plans typically see MATTHEW DEDRICK (ARNP) as active in the national extract.
Which specialty label fits MATTHEW DEDRICK (ARNP)?
NPPES ties MATTHEW DEDRICK (ARNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MATTHEW DEDRICK (ARNP)?
The directory associates MATTHEW DEDRICK (ARNP) with Mount Dora, Florida. Check all listed addresses for suites or satellite offices.
Can I export MATTHEW DEDRICK (ARNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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