MR. MICHAEL REDDEN (FNP-BC) – Nurse Practitioner, NPI 1881467686

MR. MICHAEL REDDEN (FNP-BC) is a healthcare provider. based in Douglassville, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 1138217 (TX). The NPI Number for MR. MICHAEL REDDEN (FNP-BC) is 1881467686

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL REDDEN (FNP-BC)
NPI
1881467686
Phone
(903) 244-8822
Address
11815 FM 995
Enumeration Date
2 November 2023
Last Update Date
15 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5016236100
Graduation Year
2023 (3 years ago)
PAC ID
1759731078
Group Practice PAC ID
4789663345
Professional Enrollment ID
I20240611000255
Address ID
AR719136475HO3633XAVEX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:2State licenses:2Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for MR. MICHAEL REDDEN (FNP-BC)

  • 11815 FM 995

    DOUGLASSVILLE, TX 755606333

    Phone: (903) 244-8822

    Type: Mailing

  • 3633 CENTRAL AVE STE N

    HOT SPRINGS, AR 719136475

    Phone: (501) 623-6100

    Fax: (501) 623-3403

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2024-02-22 • Largest payer in this snapshot: ABBVIE INC. ($57).

Total Amount

$78

General + Research + Ownership

Payments

2

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-22

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: 2024-06-11

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
I20240611000255INurse PractitionerARTBD

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 75560)

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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: 4789663345View full group profile
NameSpecialtyState
Nurse PractitionerAR
D E R M A T O L O G YAR
D E R M A T O L O G YAR
Nurse PractitionerAR
D E R M A T O L O G YAR
Nurse PractitionerAR
Nurse PractitionerTX
Physician AssistantAR
-AR

Reviews

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Frequently asked questions

What NPI should I save for MR. MICHAEL REDDEN (FNP-BC)?
Save NPI 1881467686 if you need a stable reference for MR. MICHAEL REDDEN (FNP-BC).
Is MR. MICHAEL REDDEN (FNP-BC)'s NPI currently valid?
The extract we use shows MR. MICHAEL REDDEN (FNP-BC) as active.
Does MR. MICHAEL REDDEN (FNP-BC) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for MR. MICHAEL REDDEN (FNP-BC). Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. MICHAEL REDDEN (FNP-BC)?
The page summarizes Douglassville, Texas for MR. MICHAEL REDDEN (FNP-BC); expand the address list for detail.
How can I contact MR. MICHAEL REDDEN (FNP-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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