TINA K MCGREW (MS, RD, LD) – Registered Dietitian, NPI 1700862976
Registered Dietitian
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Profile Insights
NPPES metrics only — not quality of care.
94 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in ID
Provider Addresses for TINA K MCGREW (MS, RD, LD)
3044 SUPER CUB LN
NORTH POLE, AK 997057517
Phone: (907) 488-1363
Type: Mailing
1581 Red Feather Way
Hailey, ID 833338957
Phone: (208) 928-4152
Type: Location
Fort Wainwright, Gaffney Road, Hamilton Acres, Fairbanks, Fairbanks North Star Borough, Alaska, 99710, United States
BASSETT ARMY COMMUNITY HOSPITAL, NCD
FORT WAINWRIGHT, AK 997035001
Phone: (907) 353-5276
Fax: (907) 353-4829
Type: Location
100 HOSPITAL DR
BOISE, ID 83340
Phone: (208) 727-8356
Fax: (208) 727-8357
Type: Location
1581 RED FEATHER WAY
HAILEY, ID 833338957
Phone: (208) 928-4152
Type: Location
PO BOX 3538
KETCHUM, ID 833403501
Phone: (208) 309-8748
Type: Mailing
128 SADDLE RD SUITE 107
KETCHUM, ID 83340
Phone: (208) 928-4152
Type: Location
190 E BANNOCK ST
BOISE, ID 837126241
Phone:
Type: Mailing
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: 2025-10-10
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 |
|---|---|---|---|---|
| I20251010000326 | I | Registered Dietitian Or Nutrition Professional | ID | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99705)
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