TAMARA LYNN HERBENER-KALLAL (FNP-BC) – Nurse Practitioner, NPI 1174587216
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
5,201 NURSE PRACTITIONER in CO
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Provider Addresses for TAMARA LYNN HERBENER-KALLAL (FNP-BC)
Grand River Medical Center, 501, Airport Road, Rifle, Garfield County, Colorado, 81650, United States
RIFLE, CO 816508510
Phone: (970) 625-6487
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)
CMS reports 76 Open Payments records for all available years, with a total value of $1,209.
Total Amount is formed as General ($1,209) + Research ($0) + Ownership ($0) = $1,209.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($302).
Total Amount
$1,209
General + Research + Ownership
Payments
76
Total payment records
General Amount
$1,209
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $302 |
| GlaxoSmithKline, LLC. | $187 |
| Lilly USA, LLC | $180 |
| Astellas Pharma US Inc | $120 |
| PFIZER INC. | $101 |
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: 2010-11-17
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 |
|---|---|---|---|---|
| I20101117000068 | I | Nurse Practitioner | CO | 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 81650)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| General Surgery | CO | |
| Osteopathic Manipulative Medicine | CO | |
| P O D I A T R Y | CO | |
| - | CO | |
| Internal Medicine | ME | |
| General Surgery | CO | |
| - | CO | |
| Physician Assistant | CO | |
| Hospitalist, Internal Medicine | OH |
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