KERRI SHEPHEARD RUNDSTROM (NP) – Family Nurse Practitioner, NPI 1073260824
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,307 NURSE PRACTITIONER in VA
Provider Addresses for KERRI SHEPHEARD RUNDSTROM (NP)
140 GREEN SHUTTERS LN
CHARLOTTE COURT HOUSE, VA 239233309
Phone: (434) 315-4282
Type: Mailing
104 CAROLINA AVE
BROOKNEAL, VA 245282643
Phone: (434) 376-2325
Type: Location
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: 2022-05-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220517001484 | I | Nurse Practitioner | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 183 | 147 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 146 | 127 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 116 | 103 | $0 |
| 81003 | Automated urinalysis test | 35 | 33 | $0 |
| 83036 | Hemoglobin a1c level | 28 | 28 | $0 |
Insurance plans in this area (ZIP 23923)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| N E U R O L O G Y | MD | |
| Internal Medicine | VA | |
| - | VA | |
| N E U R O S U R G E R Y | VA | |
| Hospitalist, Family Practice | VA | |
| Diagnostic Radiology | OH | |
| Cardiac Electrophysiology | VA | |
| - | SC | |
| - | VA |
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