MRS. ELIZABETH JOHN REDDIAR (AGPCNP-BC) – Adult Health Nurse Practitioner, NPI 1073951257

MRS. ELIZABETH JOHN REDDIAR (AGPCNP-BC) is a healthcare provider. based in Garland, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-BC. They hold a License No. 827862 (TX). The NPI Number for MRS. ELIZABETH JOHN REDDIAR (AGPCNP-BC) is 1073951257

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ELIZABETH JOHN REDDIAR (AGPCNP-BC)
NPI
1073951257
Phone
(973) 944-4795
Address
4421 MERLIN DR
Enumeration Date
10 June 2013
Last Update Date
18 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2142664200
Graduation Year
1999 (27 years ago)
PAC ID
9436448230
Group Practice PAC ID
8325934813
Professional Enrollment ID
I20160518001048
Address ID
TX752165946DA303XXRDXX402
Telehealth
Yes

Contacts

Secure Messaging
ereddiar227459@direct.sw.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MRS. ELIZABETH JOHN REDDIAR (AGPCNP-BC)

  • 4421 MERLIN DR

    GARLAND, TX 750432671

    Phone: (973) 944-4795

    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)

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: 2016-05-18

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
I20160518001048INurse 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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes320148$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month7852$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7070$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes6347$0
99497Advance care planning, first 30 minutes5450$0
View full utilization report →

Insurance plans in this area (ZIP 75043)

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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: 8325934813View full group profile
NameSpecialtyState
-TX
-IN
Family PracticeMA
-TX
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I cross-check MRS. ELIZABETH JOHN REDDIAR (AGPCNP-BC) using NPI 1073951257?
NPI 1073951257 belongs to MRS. ELIZABETH JOHN REDDIAR (AGPCNP-BC); compare other details if you need extra assurance.
Active or inactive — what applies to MRS. ELIZABETH JOHN REDDIAR (AGPCNP-BC)?
You should see MRS. ELIZABETH JOHN REDDIAR (AGPCNP-BC) as active in CMS-hosted NPPES data.
What kind of doctor is MRS. ELIZABETH JOHN REDDIAR (AGPCNP-BC)?
MRS. ELIZABETH JOHN REDDIAR (AGPCNP-BC) is associated with Adult Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is MRS. ELIZABETH JOHN REDDIAR (AGPCNP-BC) associated with Garland?
Public fields place MRS. ELIZABETH JOHN REDDIAR (AGPCNP-BC) around Garland, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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