PEGGY A VANDYKE (MSN, APRN, BC) – Family Nurse Practitioner, NPI 1316130032

PEGGY A VANDYKE (MSN, APRN, BC) is a healthcare provider. based in Sedalia, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, BC. They hold a License No. 093560 (MO). The NPI Number for PEGGY A VANDYKE (MSN, APRN, BC) is 1316130032

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
PEGGY A VANDYKE (MSN, APRN, BC)
NPI
1316130032
Phone
(660) 826-1381
Address
3131 BRIANNA BLVD
Enumeration Date
27 August 2007
Last Update Date
27 August 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6608277998
Graduation Year
2006 (20 years ago)
PAC ID
4880756352
Group Practice PAC ID
6103714126
Professional Enrollment ID
I20081217000128
Address ID
MO653014638SE700XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for PEGGY A VANDYKE (MSN, APRN, BC)

  • 3131, Brianna Boulevard, Sedalia, Pettis County, Missouri, 65301, United States

    SEDALIA, MO 653012285

    Phone: (660) 826-1381

    Fax: (660) 827-3001

    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 16 Open Payments records for all available years, with a total value of $273.

Total Amount is formed as General ($273) + Research ($0) + Ownership ($0) = $273.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($66).

Total Amount

$273

General + Research + Ownership

Payments

16

Total payment records

General Amount

$273

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2008-12-17

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
I20081217000128INurse 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.

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

Insurance plans in this area (ZIP 65301)

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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: 6103714126View full group profile
NameSpecialtyState
Internal MedicineMO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
-MO
A N E S T H E S I O L O G YKS
A N E S T H E S I O L O G YMO
Hematology/Oncology, Internal MedicineMO
Certified Clinical Nurse Specialist (Cns)MO
Nurse PractitionerMO
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

Can I cross-check PEGGY A VANDYKE (MSN, APRN, BC) using NPI 1316130032?
NPI 1316130032 belongs to PEGGY A VANDYKE (MSN, APRN, BC); compare other details if you need extra assurance.
Active or inactive — what applies to PEGGY A VANDYKE (MSN, APRN, BC)?
You should see PEGGY A VANDYKE (MSN, APRN, BC) as active in CMS-hosted NPPES data.
What kind of doctor is PEGGY A VANDYKE (MSN, APRN, BC)?
PEGGY A VANDYKE (MSN, APRN, BC) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for PEGGY A VANDYKE (MSN, APRN, BC)?
Travel planning: use Sedalia, Missouri as the reference point for PEGGY A VANDYKE (MSN, APRN, BC), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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