JUDITH HAGGARD (FNP) – Nurse Practitioner, NPI 1619088390

JUDITH HAGGARD (FNP) is a healthcare provider. based in Kennett, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 048374 (MO). The NPI Number for JUDITH HAGGARD (FNP) is 1619088390

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
JUDITH HAGGARD (FNP)
NPI
1619088390
Phone
(573) 717-1332
Address
500 RUSSELL ST
Enumeration Date
31 August 2006
Last Update Date
14 August 2014

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
5737171332
Graduation Year
1999 (27 years ago)
PAC ID
6800838962
Group Practice PAC ID
6507818044
Professional Enrollment ID
I20050531000058
Address ID
MO638572102KE500XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

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Provider Addresses for JUDITH HAGGARD (FNP)

  • Russell Street, Kennett, Dunklin County, Missouri, 63857, United States

    KENNETT, MO 638572102

    Phone: (573) 717-1332

    Fax: (573) 717-1335

    Type: Location

  • PO BOX 400

    NEW MADRID, MO 638690400

    Phone: (573) 748-2404

    Fax: (573) 748-2554

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $718.

Total Amount is formed as General ($718) + Research ($0) + Ownership ($0) = $718.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Lilly USA, LLC ($278).

Total Amount

$718

General + Research + Ownership

Payments

43

Total payment records

General Amount

$718

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2005-05-31

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
I20050531000058INurse 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
82947Blood glucose (sugar) level8434$0
80053Blood test, comprehensive group of blood chemicals7164$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test6661$0
80061Blood test, lipids (cholesterol and triglycerides)6259$0
84443Blood test, thyroid stimulating hormone (tsh)6259$0
View full utilization report →

Insurance plans in this area (ZIP 63857)

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Provider's Procedures

JUDITH HAGGARD (FNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERMO83036Hemoglobin A1C level9138

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: 6507818044View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMO
-MO
Nurse PractitionerMO
-AR
Mental Health CounselorMO
Vascular Surgery, Family Practice, Internal MedicineMO
Nurse PractitionerMO
Family PracticeMO
Nurse PractitionerMO
-MO

Reviews

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Frequently asked questions

How do payers reference JUDITH HAGGARD (FNP)?
For JUDITH HAGGARD (FNP), use NPI 1619088390 as the unique 10-digit identifier.
Would JUDITH HAGGARD (FNP) appear as active to a payer?
You can treat JUDITH HAGGARD (FNP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JUDITH HAGGARD (FNP)?
JUDITH HAGGARD (FNP)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with JUDITH HAGGARD (FNP)?
Directory geography for JUDITH HAGGARD (FNP) centers on Kennett, Missouri.
Does JUDITH HAGGARD (FNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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