Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TERRY LIEFDE MD
NPI 1083465710
Student in an Organized Health Care Education/Training Program in Pine Bluff, AR

Active since March 29, 2024PECOS EnrolledAccepts Medicare Assignment
1601 W 40TH AVE, PINE BLUFF, AR 71603(870) 541-6000(870) 541-6009 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Terry Liefde Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TERRY LIEFDE MD (NPI 1083465710) is an individual student in an organized health care education/training program in Pine Bluff, Arkansas and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083465710
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. TERRY LIEFDECredential: MD
Location Address1601 W 40TH AVEPine Bluff, AR 71603-6069
Mailing Address1601 W 40th AvePine Bluff, AR 71603-6069 · (870) 541-6000 · Fax (870) 541-6009
Fax(870) 541-6009
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 29, 2024
Last NPPES UpdateJune 26, 2026
NPPES CertifiedJune 26, 2026
NPI 1083465710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License TL.0010310 (CO)
1601 W 40TH AVE, Pine Bluff, AR 71603

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Terry Liefde Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698217917
PECOS Enrollment IDI20260318000460
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1601 W 40TH AVE
PINE BLUFF, AR 71603
Specialist
1601 W 40TH AVE, SUITE 301
PINE BLUFF, AR 71603
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE
PINE BLUFF, AR 71603
Internal Medicine
1601 W 40TH AVE
PINE BLUFF, AR 71603
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE
PINE BLUFF, AR 71603
Specialist
1601 W 40TH AVE, SUITE 301
PINE BLUFF, AR 71603
Family Medicine
1601 W 40TH AVE
PINE BLUFF, AR 71603
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE
PINE BLUFF, AR 71603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terry Liefde's NPI number?

The NPI number for Terry Liefde is 1083465710. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Where is Terry Liefde located?

Terry Liefde practices at 1601 W 40th Ave, Pine Bluff, AR 71603. The listed phone number is (870) 541-6000.

What is Terry Liefde's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Terry Liefde enrolled in Medicare?

Yes. Terry Liefde is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Terry Liefde was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.