RENDALL NORTHCUTT (FNP) – Primary Care Nurse Practitioner, NPI 1013325638

RENDALL NORTHCUTT (FNP) is a healthcare provider. based in Tyler, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP126102 (TX). The NPI Number for RENDALL NORTHCUTT (FNP) is 1013325638

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
RENDALL NORTHCUTT (FNP)
NPI
1013325638
Phone
(903) 877-7200
Address
11937 US HIGHWAY 271
Enumeration Date
28 July 2014
Last Update Date
6 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9032785747
Graduation Year
2014 (12 years ago)
PAC ID
2769602614
Group Practice PAC ID
8123429925
Professional Enrollment ID
I20140929000379
Address ID
TX755031461TE5803XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

22,440 NURSE PRACTITIONER in TX

Provider Addresses for RENDALL NORTHCUTT (FNP)

  • 11937 US HIGHWAY 271

    TYLER, TX 757083154

    Phone: (903) 877-7200

    Fax: (903) 877-5080

    Type: Location

  • PO BOX 731912

    DALLAS, TX 753731912

    Phone: (903) 877-7200

    Fax: (903) 877-5080

    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: 2014-09-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140929000379INurse PractitionerTXTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes992379$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes843331$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes487158$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes464139$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes388216$0
View full utilization report →

Insurance plans in this area (ZIP 75708)

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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: 8123429925View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerAR
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How is RENDALL NORTHCUTT (FNP) identified in CMS data?
CMS-hosted NPPES data lists RENDALL NORTHCUTT (FNP) with NPI 1013325638.
Can I rely on RENDALL NORTHCUTT (FNP) being an active provider?
As of the registry snapshot, RENDALL NORTHCUTT (FNP) is marked active.
What is RENDALL NORTHCUTT (FNP)'s specialty?
The listing groups RENDALL NORTHCUTT (FNP) with Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does RENDALL NORTHCUTT (FNP) list a practice location?
Patients near Tyler, Texas may find RENDALL NORTHCUTT (FNP) in results; validate coverage separately.
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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