MRS. REISHA L CAUDILL (NURSE PRACTITIONER) – Psychiatric/Mental Health Nurse Practitioner, NPI 1497189518

MRS. REISHA L CAUDILL (NURSE PRACTITIONER) is a healthcare provider. based in London, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 3008255 (KY). The NPI Number for MRS. REISHA L CAUDILL (NURSE PRACTITIONER) is 1497189518

Main info

Female
13 Years Of Experience
Name
MRS. REISHA L CAUDILL (NURSE PRACTITIONER)
NPI
1497189518
Phone
(859) 813-4109
Address
1340 S LAUREL RD
Enumeration Date
26 August 2013
Last Update Date
23 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5024096993
Graduation Year
2013 (13 years ago)
PAC ID
3476863952
Group Practice PAC ID
6709149321
Professional Enrollment ID
I20151112002681
Address ID
KY402074837LO4010XCIRX303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for MRS. REISHA L CAUDILL (NURSE PRACTITIONER)

  • 1340 S LAUREL RD

    LONDON, KY 407448304

    Phone: (859) 813-4109

    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)

CMS reports 6 Open Payments records for all available years, with a total value of $95.

Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($73).

Total Amount

$95

General + Research + Ownership

Payments

6

Total payment records

General Amount

$95

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2015-11-12

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
I20151112002681INurse PractitionerKYTBD

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 minutes6112$0
View full utilization report →

Insurance plans in this area (ZIP 40744)

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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: 6709149321View full group profile
NameSpecialtyState
-KY
Clinical Social WorkerFL
-KY
-KY
Clinical PsychologistKY
Mental Health CounselorKY
Clinical Social WorkerKY
Clinical PsychologistKY
Clinical PsychologistKY
Clinical Social WorkerLA

Reviews

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Frequently asked questions

Does MRS. REISHA L CAUDILL (NURSE PRACTITIONER) have a public NPI I can cite?
Public records show MRS. REISHA L CAUDILL (NURSE PRACTITIONER) under NPI 1497189518.
Is MRS. REISHA L CAUDILL (NURSE PRACTITIONER)'s NPI status active today?
Active status means MRS. REISHA L CAUDILL (NURSE PRACTITIONER)'s NPI record is not deactivated in the public file.
What does the directory say MRS. REISHA L CAUDILL (NURSE PRACTITIONER) does?
Insurance directories may phrase it differently, but here MRS. REISHA L CAUDILL (NURSE PRACTITIONER) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MRS. REISHA L CAUDILL (NURSE PRACTITIONER) in London, Kentucky?
For routing, start with London, Kentucky for MRS. REISHA L CAUDILL (NURSE PRACTITIONER), then verify phone and hours locally.
Why is information missing for MRS. REISHA L CAUDILL (NURSE PRACTITIONER)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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