MRS. VICTORIA A TYNAN (NP) – Family Nurse Practitioner, NPI 1891773164
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. VICTORIA A TYNAN (NP)
South Clearview Avenue, Mesa, Maricopa County, Arizona, 85206, United States
MESA, AZ 852093378
Phone: (480) 988-9108
Fax: (480) 813-4460
Type: Mailing
6700 S LYON DR
GILBERT, AZ 852984276
Phone: (928) 581-9684
Type: Mailing
North Ironwood Drive, San Tan Valley, Pinal County, Arizona, 85243, United States
SAN TAN VALLEY, AZ 851407002
Phone: (602) 714-1271
Fax: (480) 987-6566
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $210.
Total Amount is formed as General ($210) + Research ($0) + Ownership ($0) = $210.
Last reported payment date: 2024-06-02 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($115).
Total Amount
$210
General + Research + Ownership
Payments
2
Total payment records
General Amount
$210
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences, Inc. | $115 |
| Solventum Corporation | $95 |
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: 2011-04-21
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 |
|---|---|---|---|---|
| I20110421000860 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85209)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| - | AZ | |
| Internal Medicine | AZ | |
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ |
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