THERESA MARIE PAYNE (NP) – Nurse Practitioner, NPI 1083705909
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for THERESA MARIE PAYNE (NP)
71511 HIGHWAY 111 STE H
RANCHO MIRAGE, CA 922704465
Phone: (760) 773-2200
Fax: (760) 773-2202
Type: Location
PO BOX 54130
LOS ANGELES, CA 900540130
Phone: (951) 687-3200
Fax: (951) 687-8923
Type: Mailing
3660, Park Sierra Drive, Riverside, Riverside County, California, 92505, United States
SUITE 208
RIVERSIDE, CA 925053059
Phone: (951) 687-2800
Fax: (951) 687-7290
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 44 Open Payments records for all available years, with a total value of $1,740.
Total Amount is formed as General ($1,740) + Research ($0) + Ownership ($0) = $1,740.
Last reported payment date: 2024-07-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($394).
Total Amount
$1,740
General + Research + Ownership
Payments
44
Total payment records
General Amount
$1,740
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-02-28
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 |
|---|---|---|---|---|
| I20140228001259 | I | Nurse Practitioner | CA | 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 92270)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Internal Medicine, Nephrology | MT | |
| Nephrology, Internal Medicine | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| Nephrology, Internal Medicine | CA | |
| Nephrology, Internal Medicine | CA |
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