DEIRDRE L NIVENS (FAMILY NURSE PRACITI) – Nurse Practitioner, NPI 1225260532

DEIRDRE L NIVENS (FAMILY NURSE PRACITI) is a healthcare provider. based in Potosi, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FAMILY NURSE PRACITI. They hold a License No. 124134 (MO). The NPI Number for DEIRDRE L NIVENS (FAMILY NURSE PRACITI) is 1225260532

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DEIRDRE L NIVENS (FAMILY NURSE PRACITI)
NPI
1225260532
Phone
(573) 438-2977
Address
300 HEALTH WAY DR
Enumeration Date
20 August 2009
Last Update Date
17 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5734389355
Graduation Year
2009 (17 years ago)
PAC ID
6800931460
Group Practice PAC ID
3072598143
Professional Enrollment ID
I20100306000357
Address ID
MO636645729PO1XXXXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for DEIRDRE L NIVENS (FAMILY NURSE PRACITI)

  • Washington County Memorial Hospital, 300, Health Way Drive, Potosi, Washington County, Missouri, 63660, United States

    POTOSI, MO 636641434

    Phone: (573) 438-2977

    Fax: (573) 438-2874

    Type: Mailing

  • Health Way Drive, Potosi, Washington County, Missouri, 63660, United States

    POTOSI, MO 636641434

    Phone: (573) 438-2977

    Fax: (573) 438-2874

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $517.

Total Amount is formed as General ($517) + Research ($0) + Ownership ($0) = $517.

Last reported payment date: 2024-08-08 • Largest payer in this snapshot: Nevro Corp. ($142).

Total Amount

$517

General + Research + Ownership

Payments

7

Total payment records

General Amount

$517

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-08

Latest reported date

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: 2010-03-06

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
I20100306000357INurse PractitionerMOTBD

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
83036Hemoglobin a1c level4316$0
80053Blood test, comprehensive group of blood chemicals2622$0
80061Blood test, lipids (cholesterol and triglycerides)2218$0
View full utilization report →

Insurance plans in this area (ZIP 63664)

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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: 3072598143View full group profile
NameSpecialtyState
C H I R O P R A C T I CMO
Nurse PractitionerMO
Clinical Social WorkerMO
Nurse PractitionerMO
Mental Health CounselorMO
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Nurse PractitionerMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

How is DEIRDRE L NIVENS (FAMILY NURSE PRACITI) identified in CMS data?
CMS-hosted NPPES data lists DEIRDRE L NIVENS (FAMILY NURSE PRACITI) with NPI 1225260532.
Is DEIRDRE L NIVENS (FAMILY NURSE PRACITI) listed as active for patients and plans?
The listing shows DEIRDRE L NIVENS (FAMILY NURSE PRACITI) as active in the NPI system.
What taxonomy line describes DEIRDRE L NIVENS (FAMILY NURSE PRACITI)?
For research purposes, treat DEIRDRE L NIVENS (FAMILY NURSE PRACITI) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DEIRDRE L NIVENS (FAMILY NURSE PRACITI) on a map?
Expect Potosi, Missouri as a primary anchor for DEIRDRE L NIVENS (FAMILY NURSE PRACITI) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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