DEDREA A WHITE ANP
NPI 1639163736
Nurse Practitioner - Adult Health in Little Rock, AR
About Dedrea A White Anp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEDREA A WHITE ANP (NPI 1639163736) is an individual adult health provider in Little Rock, Arkansas, licensed in Arkansas (A01751) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Dedrea A White Anp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LITTLE ROCK, AR 72211
LITTLE ROCK, AR 72211
LITTLE ROCK, AR 72211
LITTLE ROCK, AR 72211
LITTLE ROCK, AR 72211
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 Dedrea White's NPI number?
The NPI number for Dedrea White is 1639163736. It was assigned to this individual provider in the NPPES registry on September 2, 2005.
Where is Dedrea White located?
Dedrea White practices at 7 Shackleford West Blvd, Little Rock, AR 72211. The listed phone number is (501) 664-5860.
What is Dedrea White's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Dedrea White enrolled in Medicare?
Yes. Dedrea White 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 Dedrea White accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Dedrea White 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 Dedrea White was last updated on February 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dedrea A White, ANP · NPI 1639163736
Adult Health physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since September 2, 2005.
## Identity
- **NPI:** 1639163736 (Entity type: Individual)
- **Enumerated:** September 2, 2005
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** A01751 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 7 SHACKLEFORD WEST BLVD, Little Rock, AR 72211-3714
- **Phone:** (501) 664-5860 · **Fax:** (501) 664-0889
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** February 25, 2011
- **Other identifiers:** Medicaid 159173758 (AR); Medicare PIN 5Y399 (AR); Medicare UPIN Q47044 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1639163736) · Data from the CMS NPPES public registry.