R KENT VANDERGRIFF (ACNP) – Critical Care Medicine Nurse Practitioner, NPI 1215230586

R KENT VANDERGRIFF (ACNP) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP. They hold a License No. 631043 (TX). The NPI Number for R KENT VANDERGRIFF (ACNP) is 1215230586

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
R KENT VANDERGRIFF (ACNP)
NPI
1215230586
Phone
(903) 531-5000
Address
PO BOX 841656
Enumeration Date
8 December 2010
Last Update Date
14 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
1254515935
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20110404000539
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for R KENT VANDERGRIFF (ACNP)

  • PO BOX 841656

    DALLAS, TX 752841656

    Phone: (903) 531-5000

    Type: Mailing

  • 800 E DAWSON ST

    TYLER, TX 757012036

    Phone: (903) 525-1914

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-01-25 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-25

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: 2011-04-04

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
I20110404000539INurse 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
99291Critical care, first 30-74 minutes132126$0
99292Critical care, each additional 30 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

What identifier follows R KENT VANDERGRIFF (ACNP) across health systems?
The NPI 1215230586 uniquely identifies R KENT VANDERGRIFF (ACNP) in U.S. healthcare data.
Is R KENT VANDERGRIFF (ACNP) currently accepting referrals based on NPI status?
Registry metadata lists R KENT VANDERGRIFF (ACNP) as active.
How should patients interpret R KENT VANDERGRIFF (ACNP)'s specialty?
The extract shows Critical Care Medicine Nurse Practitioner for R KENT VANDERGRIFF (ACNP). Clinical services aligned with this taxonomy classification.
Is R KENT VANDERGRIFF (ACNP) tied to Dallas, Texas?
If you are local to Dallas, Texas, R KENT VANDERGRIFF (ACNP) may be relevant to your search.
Why is information missing for R KENT VANDERGRIFF (ACNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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