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DR. DEIDRE WYRICK M.D.
NPI 1235454174
Surgery - Surgical Critical Care in Little Rock, AR

Active since April 04, 2010PECOS Enrolled
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202(501) 364-1100(501) 364-4082 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 18, 2022, Jul 23, 2020 (2 updates tracked since 2020).

About Dr. Deidre Wyrick M.d. NPPES

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

DR. DEIDRE WYRICK M.D. (NPI 1235454174) is an individual surgical critical care provider in Little Rock, Arkansas, licensed in Arkansas (E-10832) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235454174
Entity TypeIndividualFemale
Primary Taxonomy2086S0102X
Provider Legal NameDR. DEIDRE WYRICKCredential: M.D.
Location Address1 CHILDRENS WAY # 653Little Rock, AR 72202-3500
Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082
Phone(501) 364-1100
Fax(501) 364-4082
Sole ProprietorNo
Enumeration DateApril 4, 2010
Last NPPES UpdateJanuary 18, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2022
✔ NPI 1235454174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in AR · E-10832
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
1 CHILDRENS WAY # 653, Little Rock, AR 72202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Deidre Wyrick M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Deidre Wyrick reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arkansas Childrens Professional Services Organization LLC
Same address
Pediatrics
1 CHILDRENS WAY
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 653 clinicians in this Medicare group
NPI 1629889464 (501) 364-2526
University Of Arkansas For Medical Sciences
Same address
Psychologist
1 CHILDRENS WAY # 653
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1467528026 (Arkansas)
  • 1,246 clinicians in this Medicare group
NPI 1114255353 (501) 364-1100
Arkansas Childrens Hospital
3.4 mi
Pediatrics
1 CHILDRENS WAY # 664
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 944 clinicians in this Medicare group
NPI 1598773079 (501) 364-2526

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ADRIENNE MARIE KODER
Orthopaedic Surgery
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
STEPHEN JAMES CANON M.D.
Urology (Pediatric Urology)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
HEATHER LYNN YOUNG MD
Pediatrics (Pediatric Infectious Diseases)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
MRS. GLENDA MARIE ECKERT APN
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
AMBRE' LACHELLE POWNALL APN, PNP-BC
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
ANITA JEAN BUELL-SANDERS
Nurse Practitioner (Acute Care)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-3620
VIKAS CHOWDHARY M.D.
Pediatrics
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
MRS. JOY ANGELA CHILDRESS APN
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100

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 Deidre Wyrick's NPI number?

The NPI number for Deidre Wyrick is 1235454174. It was assigned to this individual provider in the NPPES registry on April 4, 2010.

Where is Deidre Wyrick located?

Deidre Wyrick practices at 1 Childrens Way # 653, Little Rock, AR 72202. The listed phone number is (501) 364-1100.

What is Deidre Wyrick's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Deidre Wyrick enrolled in Medicare?

Yes. Deidre Wyrick is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Deidre Wyrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deidre Wyrick reassigns Medicare benefits to 3 organizations: Arkansas Childrens Professional Services Organization LLC (Little Rock, AR), University Of Arkansas For Medical Sciences (Little Rock, AR) and Arkansas Childrens Hospital (Little Rock, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deidre Wyrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deidre Wyrick accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Deidre Wyrick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deidre Wyrick was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.