DENISE A PECK (ARNP) – Nurse Practitioner, NPI 1265500573

DENISE A PECK (ARNP) is a healthcare provider. based in Grand prairie, Texas. specializing in Nurse Practitioner. They hold the professional credentials ARNP. They hold a License No. AP1057134 (TX). The NPI Number for DENISE A PECK (ARNP) is 1265500573

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DENISE A PECK (ARNP)
NPI
1265500573
Phone
(817) 453-3500
Address
4560 LAKE RIDGE PKWY STE 300
Enumeration Date
4 December 2006
Last Update Date
30 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193561616
Graduation Year
2003 (23 years ago)
PAC ID
9638268261
Group Practice PAC ID
7618884230
Professional Enrollment ID
I20071205000370
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DENISE A PECK (ARNP)

  • 4560 LAKE RIDGE PKWY STE 300

    GRAND PRAIRIE, TX 750521706

    Phone: (817) 453-3500

    Fax: (817) 453-3520

    Type: Mailing

  • University of Iowa Hospitals & Clinics, 200, Hawkins Drive, Iowa City, Johnson County, Iowa, 52245, United States

    01003 JPP

    IOWA CITY, IA 52242

    Phone: (319) 354-5692

    Type: Mailing

  • 150, 10th Street Southeast, MedQuarter, Cedar Rapids, Linn County, Iowa, 52401, United States

    CEDAR RAPIDS, IA 524032449

    Phone: (319) 363-3600

    Fax: (319) 363-9971

    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 $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2023-10-12 • Largest payer in this snapshot: Bioventus LLC ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Bioventus LLC$33
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: 2023-07-03

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
I20230703002711INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75052)

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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: 7618884230View full group profile

Reviews

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Frequently asked questions

What is the registry number for DENISE A PECK (ARNP)?
The registry entry for DENISE A PECK (ARNP) shows NPI 1265500573.
Does the public listing show DENISE A PECK (ARNP) as active?
DENISE A PECK (ARNP)'s NPI record reflects an active status in NPPES.
What type of care does DENISE A PECK (ARNP) provide?
DENISE A PECK (ARNP)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DENISE A PECK (ARNP)?
DENISE A PECK (ARNP) is associated with Grand Prairie, Texas in the same public data insurers reference.
Why is information missing for DENISE A PECK (ARNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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