TINA RENEE KAUDERER (CNP) – Family Nurse Practitioner, NPI 1366763468
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,198 NURSE PRACTITIONER in CO
Provider Addresses for TINA RENEE KAUDERER (CNP)
1001 S PERRY ST STE 104B
CASTLE ROCK, CO 801041950
Phone:
Type: Mailing
310 FAIR AVE NW
NEW PHILADELPHIA, OH 446631961
Phone: (330) 447-1766
Type: Mailing
2600 6TH ST SW
CANTON, OH 447101702
Phone: (330) 363-1341
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 125 Open Payments records for all available years, with a total value of $2,433.
Total Amount is formed as General ($2,433) + Research ($0) + Ownership ($0) = $2,433.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($637).
Total Amount
$2,433
General + Research + Ownership
Payments
125
Total payment records
General Amount
$2,433
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $637 |
| ITI, Inc. | $323 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $299 |
| Alkermes, Inc. | $180 |
| Teva Pharmaceuticals USA, Inc. | $179 |
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: 2021-06-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20201221001192 | I | Nurse Practitioner | CO | TBD |
| I20210607002767 | I | Nurse Practitioner | LA | 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 80104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | LA | |
| Nurse Practitioner | LA | |
| P S Y C H I A T R Y | AL |
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