ELLEN L SPEAK (APN) – Nurse Practitioner, NPI 1285819227
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
10,728 NURSE PRACTITIONER in TN
Provider Addresses for ELLEN L SPEAK (APN)
452 PERKINS EXT
MEMPHIS, TN 381173808
Phone: (901) 888-2646
Type: Location
215, East Bond Avenue, West Memphis, Crittenden County, Arkansas, 72301, United States
WEST MEMPHIS, AR 723013550
Phone: (870) 735-3842
Fax: (870) 732-1940
Type: Mailing
900 N 7TH ST
WEST MEMPHIS, AR 723012001
Phone: (870) 735-3842
Fax: (870) 394-4872
Type: Mailing
452 Perkins Ext
Memphis, TN 381173808
Phone: (901) 888-2646
Type: Location
216 ARKANSAS ST
EARLE, AR 723312217
Phone: (870) 792-7676
Fax: (870) 394-4817
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $99.
Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.
Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Exact Sciences Corporation ($44).
Total Amount
$99
General + Research + Ownership
Payments
5
Total payment records
General Amount
$99
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-02-28
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110228000150 | I | Nurse Practitioner | AR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 18 | 12 | $0 |
Insurance plans in this area (ZIP 38117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | TN | |
| Physician Assistant | AR | |
| - | AR | |
| - | AR | |
| Clinical Social Worker | AR | |
| Nurse Practitioner | AR | |
| Family Practice | AR | |
| Nurse Practitioner | AR |
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