MRS. JUDY PEDIGO (FNP) – Nurse Practitioner, NPI 1902982861

MRS. JUDY PEDIGO (FNP) is a healthcare provider. based in Dexter, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 073081 (MO). The NPI Number for MRS. JUDY PEDIGO (FNP) is 1902982861

Main info

Female
23 Years Of Experience
Name
MRS. JUDY PEDIGO (FNP)
NPI
1902982861
Phone
(573) 568-3686
Address
115 E BUSINESS HIGHWAY 60
Enumeration Date
31 October 2006
Last Update Date
12 July 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5736144600
Graduation Year
2003 (23 years ago)
PAC ID
2961482476
Group Practice PAC ID
7315192515
Professional Enrollment ID
I20040724000068
Address ID
MO638412879DE2025X60XX600
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

Provider Addresses for MRS. JUDY PEDIGO (FNP)

  • 115 E BUSINESS HIGHWAY 60

    DEXTER, MO 63841

    Phone: (573) 568-3686

    Type: Location

  • 601, South Mulberry Street, Dexter, Stoddard County, Missouri, 63841, United States

    DEXTER, MO 63841

    Phone: (573) 568-3686

    Type: Mailing

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: 2004-07-24

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
I20040724000068INurse 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 63841)

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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: 7315192515View full group profile
NameSpecialtyState
P S Y C H I A T R YMO
Internal Medicine, Family PracticeMO
-MO
-MI
Family PracticeNH
Family Practice, Emergency Medicine, Geriatric MedicineMO
General SurgeryMO
Internal Medicine, Family PracticeMO
-MO
Emergency MedicineIA

Reviews

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Frequently asked questions

Is MRS. JUDY PEDIGO (FNP) listed with a National Provider Identifier?
Yes — MRS. JUDY PEDIGO (FNP) has NPI 1902982861 on file in the registry.
Is there an active status for MRS. JUDY PEDIGO (FNP)?
For scheduling context, MRS. JUDY PEDIGO (FNP) is shown as active in the registry.
What expertise is attributed to MRS. JUDY PEDIGO (FNP)?
MRS. JUDY PEDIGO (FNP)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. JUDY PEDIGO (FNP) located near Dexter?
MRS. JUDY PEDIGO (FNP) currently maps to Dexter, Missouri in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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