DR. TALISSA BETH ADKISON (M.D) – Geriatric Medicine (Internal Medicine) Physician, NPI 1114040862

DR. TALISSA BETH ADKISON (M.D) is a healthcare provider. based in Phoenix, Arizona. specializing in INTERNAL MEDICINE, GERIATRIC MEDICINE. They hold the professional credentials M.D. They hold a License No. 44957 (AZ). The NPI Number for DR. TALISSA BETH ADKISON (M.D) is 1114040862

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. TALISSA BETH ADKISON (M.D)
NPI
1114040862
Phone
(602) 954-0444
Address
1510 E FLOWER ST
Enumeration Date
9 April 2007
Last Update Date
5 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6029540444
Graduation Year
2007 (19 years ago)
PAC ID
6002084076
Group Practice PAC ID
1456644780
Professional Enrollment ID
I20110718000518
Address ID
AZ850145656PH1510XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,585 INTERNAL MEDICINE in AZ

Provider Addresses for DR. TALISSA BETH ADKISON (M.D)

  • 1510 E FLOWER ST

    PHOENIX, AZ 850145698

    Phone: (602) 954-0444

    Fax: (602) 952-7146

    Mailing address matches the actual address.

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: 2011-07-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110718000518IInternal MedicineAZTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes318153$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes307144$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes5237$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and4943$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 85014)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456644780View full group profile
NameSpecialtyState
Hospice/Palliative Care, Family PracticeNV
Nurse PractitionerAZ
Nurse PractitionerAZ
-AZ
Nurse PractitionerAZ
-AZ
-AZ
Family PracticeAZ
Nurse PractitionerAZ
Nurse PractitionerAZ

Reviews

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Frequently asked questions

Is there an official ID for DR. TALISSA BETH ADKISON (M.D) in U.S. healthcare records?
The official identifier for DR. TALISSA BETH ADKISON (M.D) is NPI 1114040862.
Would DR. TALISSA BETH ADKISON (M.D) appear as active to a payer?
You can treat DR. TALISSA BETH ADKISON (M.D) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. TALISSA BETH ADKISON (M.D)?
At a glance, DR. TALISSA BETH ADKISON (M.D) is tied to Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. TALISSA BETH ADKISON (M.D)?
Travel planning: use Phoenix, Arizona as the reference point for DR. TALISSA BETH ADKISON (M.D), then confirm.
When was this NPI issued?
Enumeration for DR. TALISSA BETH ADKISON (M.D) is noted as April 9, 2007 where the registry provides it.

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