SHUNDRICKA ROCHELLE REDDICK NURSE PRACTITIONER
NPI 1407301724
Nurse Practitioner - Family in Gould, AR

Active since August 16, 2016PECOS EnrolledAccepts Medicare Assignment
407 S GOULD AVE, GOULD, AR 71643(870) 263-4317(870) 263-4782 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2019, Mar 17, 2018, Sep 16, 2016 and 1 more (4 updates tracked since 2016).

About Shundricka Rochelle Reddick Nurse Practitioner NPPES

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

SHUNDRICKA ROCHELLE REDDICK NURSE PRACTITIONER (NPI 1407301724) is an individual family provider in Gould, Arkansas, licensed in Arkansas (A004877) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pine Bluff, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1407301724
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHUNDRICKA ROCHELLE REDDICKCredential: NURSE PRACTITIONER
Location Address407 S GOULD AVEGould, AR 71643-5041
Mailing Address4201 Skyline DrPine Bluff, AR 71603-7743 · (870) 692-7336
Fax(870) 263-4782
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 16, 2016
Last NPPES UpdateDecember 12, 20194 updates tracked since enumeration
NPI 1407301724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AR · A004877
407 S GOULD AVE, Gould, AR 71643

Secondary Practice Location 1

Location 14201 S Mulberry StPine Bluff, AR 71603-7016 · Phone (870) 541-8660

Accepted Insurance

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

Shundricka Rochelle Reddick Nurse Practitioner 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 ID3072880988
PECOS Enrollment IDI20170525000308
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71643 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers11 claims42 services$6.87 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims23 services$1.22 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$112.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Rural Health)
407 S GOULD AVE
GOULD, AR 71643
Dentist (General Practice)
407 S GOULD AVE
GOULD, AR 71643
Nurse Practitioner (Family)
407 S GOULD AVE
GOULD, AR 71643
Dentist
407 S GOULD AVE
GOULD, AR 71643
Clinic/Center (Federally Qualified Health Center (FQHC))
407 S GOULD AVE
GOULD, AR 71643

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 Shundricka Reddick's NPI number?

The NPI number for Shundricka Reddick is 1407301724. It was assigned to this individual provider in the NPPES registry on August 16, 2016.

Where is Shundricka Reddick located?

Shundricka Reddick practices at 407 S Gould Ave, Gould, AR 71643. The listed phone number is (870) 263-4317.

What is Shundricka Reddick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shundricka Reddick enrolled in Medicare?

Yes. Shundricka Reddick 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.

What insurance does Shundricka Reddick accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Shundricka Reddick 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 Shundricka Reddick was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.