TIFFANY SUMMERILL – Case Management Registered Nurse, NPI 1255958039
Case Management Registered Nurse
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,274 NURSE PRACTITIONER in DE
Provider Addresses for TIFFANY SUMMERILL
509 N WALNUT ST
WILMINGTON, DE 198042667
Phone: (302) 293-8581
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 2 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2023-09-25 • Largest payer in this snapshot: Indivior Inc. ($26).
Total Amount
$46
General + Research + Ownership
Payments
2
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Indivior Inc. | $26 |
| Alkermes, Inc. | $20 |
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: 2024-06-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20230525002283 | I | Nurse Practitioner | PA | TBD |
| I20240111002599 | I | Nurse Practitioner | DE | TBD |
| I20240625001255 | I | Nurse Practitioner | NJ | 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 19804)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | NM | |
| Physician Assistant | PA | |
| Physician Assistant | NJ | |
| Nurse Practitioner | SC | |
| Physician Assistant | NY | |
| Nurse Practitioner | NJ | |
| Physician Assistant | PA | |
| - | NJ | |
| Physician Assistant | PA | |
| Nurse Practitioner | PA |
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