TESSA FAIN (PA) – Physician Assistant, NPI 1184484123

TESSA FAIN (PA) is a healthcare provider. based in Durango, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PENDING (AL). The NPI Number for TESSA FAIN (PA) is 1184484123

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
TESSA FAIN (PA)
NPI
1184484123
Phone
(970) 247-1970
Address
523 S CAMINO DEL RIO STE B
Enumeration Date
19 March 2024
Last Update Date
16 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9702471970
Graduation Year
2023 (3 years ago)
PAC ID
5092235630
Group Practice PAC ID
1153375902
Professional Enrollment ID
I20250226000033
Address ID
CO813036853DU523XXRIOX503
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:2State licenses:2Digital endpointsOther names

4,166 PHYSICIAN ASSISTANT in CO

Provider Addresses for TESSA FAIN (PA)

  • 523 S CAMINO DEL RIO STE B

    DURANGO, CO 813036853

    Phone: (970) 247-1970

    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)

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: 2025-02-26

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
I20250226000033IPhysician AssistantCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81303)

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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: 1153375902View full group profile
NameSpecialtyState
D E R M A T O L O G YTX
Physician AssistantCO
D E R M A T O L O G YTX
Physician AssistantCO
P A T H O L O G YCO
D E R M A T O L O G YTX
D E R M A T O L O G YCO
Physician AssistantCO

Reviews

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Frequently asked questions

What number should I use to identify TESSA FAIN (PA) for billing?
Administrative and clinical systems typically use NPI 1184484123 for TESSA FAIN (PA).
Quick check: is TESSA FAIN (PA) active?
Public NPPES data shows TESSA FAIN (PA) with an active NPI status right now.
What does the directory say TESSA FAIN (PA) does?
Insurance directories may phrase it differently, but here TESSA FAIN (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to TESSA FAIN (PA)?
TESSA FAIN (PA) shows a connection to Durango, Colorado in registry-derived data.
Why is information missing for TESSA FAIN (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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