DEEPA TANDON (CRNP) – Adult Health Nurse Practitioner, NPI 1053727768
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DEEPA TANDON (CRNP)
3536 W Glendale Ave
Phoenix, AZ 850518395
Phone: (480) 618-0777
Type: Location
3718 BERRY AVE
DREXEL HILL, PA 190263002
Phone: (610) 969-5215
Type: Mailing
PO BOX 21630
MESA, AZ 852771630
Phone: (480) 985-1093
Fax: (480) 296-7665
Type: Mailing
4065 E BELL RD
PHOENIX, AZ 850322208
Phone: (480) 985-1093
Fax: (480) 296-7665
Type: Location
PO BOX 746093
ATLANTA, GA 303746093
Phone: (312) 733-9730
Type: Mailing
3536 W GLENDALE AVE
PHOENIX, AZ 850518395
Phone: (480) 618-0777
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Novo Nordisk Inc ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $19 |
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: 2021-04-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20150901002373 | I | Nurse Practitioner | PA | TBD |
| I20210426000496 | I | Nurse Practitioner | AZ | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 46 | 32 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 36 | 36 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 13 | 13 | $0 |
Insurance plans in this area (ZIP 85051)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Nurse Practitioner | PA | |
| Physical Medicine And Rehabilitation, Internal Medicine, Pain Management | PA | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NH | |
| Nurse Practitioner | TX | |
| - | PA | |
| - | PA | |
| Family Practice | PA | |
| - | PA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.