QUE'LINDA LADAWN TILLMAN-WILSON (PMHNP) – Psychiatric/Mental Health Registered Nurse, NPI 1821661802
Psychiatric/Mental Health Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for QUE'LINDA LADAWN TILLMAN-WILSON (PMHNP)
10 WHITE OAK DR
CONWAY, AR 720343444
Phone: (501) 232-3101
Fax: (615) 334-0896
Type: Mailing
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Phone: (208) 625-5084
Type: Location
685 SHELBY TRL STE 105
CONWAY, AR 720347169
Phone: (617) 379-0493
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $311.
Total Amount is formed as General ($311) + Research ($0) + Ownership ($0) = $311.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($117).
Total Amount
$311
General + Research + Ownership
Payments
4
Total payment records
General Amount
$311
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $117 |
| Braeburn Inc. | $95 |
| ABBVIE INC. | $64 |
| Teva Pharmaceuticals USA, Inc. | $35 |
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: 2025-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20210921001679 | I | Nurse Practitioner | AR | TBD |
| I20250122002903 | I | Nurse Practitioner | ID | TBD |
| I20250303000533 | I | Nurse Practitioner | TX | TBD |
| I20250303001857 | I | Nurse Practitioner | FL | 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 72034)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | TX | |
| - | MI | |
| P S Y C H I A T R Y | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AZ |
Reviews
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