TINA MARIA BERRY (CNP) – Family Nurse Practitioner, NPI 1063936839

TINA MARIA BERRY (CNP) is a healthcare provider. based in North little rock, Arkansas. specializing in Family Nurse Practitioner. They hold the professional credentials CNP. They hold a License No. A005305 (AR). The NPI Number for TINA MARIA BERRY (CNP) is 1063936839

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
TINA MARIA BERRY (CNP)
NPI
1063936839
Phone
(501) 202-3000
Address
3333 Springhill Dr
Enumeration Date
2 August 2017
Last Update Date
18 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5012022300
Graduation Year
2017 (9 years ago)
PAC ID
3577457175
Group Practice PAC ID
5698667624
Professional Enrollment ID
I20171114002725
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for TINA MARIA BERRY (CNP)

  • 3333 Springhill Dr

    North Little Rock, AR 721172922

    Phone: (501) 202-3000

    Type: Location

  • Baptist Health Medical Center - Little Rock, 9601, Baptist Health Drive, Little Rock, Pulaski County, Arkansas, 72205, United States

    LITTLE ROCK, AR 722056321

    Phone: (501) 202-2300

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2017-11-14

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
I20171114002725INurse PractitionerARTBD

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
99283Emergency department visit with low level of medical decision making4545$0
99284Emergency department visit with moderate level of medical decision making2020$0
99282Emergency department visit with straightforward medical decision making1716$0
View full utilization report →

Insurance plans in this area (ZIP 72117)

Loading plans...

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: 5698667624View full group profile
NameSpecialtyState
Family Practice, Emergency Medicine, Internal MedicineAR
Family PracticeAR
Emergency MedicineAR
Emergency MedicineAR
Family Practice, Emergency MedicineAR
Family Practice, Emergency MedicineAR
Emergency MedicineAR
Family Practice, Emergency Medicine, Internal MedicineAR
Emergency MedicineAR
Emergency MedicineAR

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.

Frequently asked questions

What is the standard ID for TINA MARIA BERRY (CNP) in the U.S.?
In the U.S., TINA MARIA BERRY (CNP) is identified by NPI 1063936839.
Should I treat TINA MARIA BERRY (CNP) as an active provider?
Patients and plans typically see TINA MARIA BERRY (CNP) as active in the national extract.
What type of care does TINA MARIA BERRY (CNP) provide?
TINA MARIA BERRY (CNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TINA MARIA BERRY (CNP)?
TINA MARIA BERRY (CNP) is associated with North Little Rock, Arkansas in the same public data insurers reference.
Can I export TINA MARIA BERRY (CNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

MRS. SYLVIA KAY MAY (APN)

Family Nurse Practitioner
30, Suncrest Drive, Summit Addition, Cabot, Lonoke County, Arkansas, 72023, United States
NPI: 1972597789

MARTHA G BERRY (APN)

Family Nurse Practitioner
2251 BILL FOSTER MEMORIAL HWY STE B
NPI: 1073569828

MR. KEVIN DALE NEWCOM (APN)

Family Nurse Practitioner
Eugene J. Towbin Healthcare Center, 2200, Fort Roots Drive, North Little Rock, Pulaski County, Arkansas, 72114, United States
NPI: 1265453336

SUSAN JENNIFER FREEMAN (MSN, APN)

Family Nurse Practitioner
8204, North Hills Boulevard, North Little Rock, Hill Township, Pulaski County, Arkansas, 72116, United States
NPI: 1164524294

DONNA R WRIGHT (APN)

Family Nurse Practitioner
11524, North Rodney Parham Road, Rainwood, Little Rock, Pulaski County, Arkansas, 72212, United States
NPI: 1700075157

FREDERICK BRASWELL (ANP)

Family Nurse Practitioner
5901 JFK
NPI: 1376711937

LATONYA HARRIS

Family Nurse Practitioner
400 W PERSHING BLVD
NPI: 1528224508

MISS NICOLE TIDWELL TURNER (RN, APN)

Family Nurse Practitioner
1525 COUNTRY CLUB ROAD
NPI: 1972730463

MRS. DEVIN NICOLE DANIEL (APRN)

Family Nurse Practitioner
6301 SOUTHWIND DR
NPI: 1154638179