PAIGE NEIDRICH – Psychiatric/Mental Health Nurse Practitioner, NPI 1407540891

PAIGE NEIDRICH is a healthcare provider. based in Willow street, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. RN697538 (PA). The NPI Number for PAIGE NEIDRICH is 1407540891

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
PAIGE NEIDRICH
NPI
1407540891
Phone
(330) 536-3746
Address
2600 WILLOW STREET PIKE N STE 116
Enumeration Date
7 June 2023
Last Update Date
7 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3305363746
Graduation Year
2024 (2 years ago)
PAC ID
7012457823
Group Practice PAC ID
0244624633
Professional Enrollment ID
I20240907000349
Address ID
PA160463452MA500XXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for PAIGE NEIDRICH

  • 2600 WILLOW STREET PIKE N STE 116

    WILLOW STREET, PA 175849385

    Phone: (330) 536-3746

    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 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($20).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

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: 2024-09-07

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
I20240907000349INurse PractitionerPATBD

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 17584)

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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: 0244624633View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerKY
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerPA
Nurse PractitionerOH
Nurse PractitionerPA
Psychiatry, NeurologyCT
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I verify PAIGE NEIDRICH with an NPI only?
You can start verification with NPI 1407540891 for PAIGE NEIDRICH, then check state licensing separately.
Is PAIGE NEIDRICH still practicing?
PAIGE NEIDRICH is currently listed as active in the public NPI registry.
What healthcare role does PAIGE NEIDRICH hold?
Scheduling teams often label PAIGE NEIDRICH under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is PAIGE NEIDRICH based?
PAIGE NEIDRICH is tied to Willow Street, Pennsylvania in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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