JAMES TULLY (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1053933903

Psychiatric/Mental Health Nurse Practitioner

JAMES TULLY (APRN) is a healthcare provider. based in Jacksonville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11007103 (FL). The NPI Number for JAMES TULLY (APRN) is 1053933903

Main info

Male

Sole Proprietor

6 Years Of Experience

Accepts Medicare Assignment

Name

JAMES TULLY (APRN)

NPI

1053933903

Phone

Not provided

Address

9889 GATE PKWY N STE 305

Enumeration Date

14 May 2020

Last Update Date

19 October 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9047256463

Graduation Year

2020 (6 years ago)

PAC ID

6709208960

Group Practice PAC ID

6608114335

Professional Enrollment ID

I20200617002177

Address ID

FL322469230JA9889XNXXX402

Telehealth

Yes

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience36

Completeness75

Years active:6State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for JAMES TULLY (APRN)

9889 GATE PKWY N STE 305
JACKSONVILLE, FL 322469230
Phone:
Type: Mailing
9550 REGENCY SQUARE BLVD STE 903
JACKSONVILLE, FL 322258116
Phone:
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 150 Open Payments records for all available years, with a total value of $2,981.

Total Amount is formed as General ($2,981) + Research ($0) + Ownership ($0) = $2,981.

Last reported payment date: 2024-12-22 • Largest payer in this snapshot: ABBVIE INC. ($529).

Total Amount

$2,981

General + Research + Ownership

Payments

150

Total payment records

General Amount

$2,981

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2024-12-22

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
ABBVIE INC.	$529
Teva Pharmaceuticals USA, Inc.	$389
ITI, Inc.	$216
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)	$209
Otsuka America Pharmaceutical, Inc.	$125

View all Open Payments →|Open Payments Risk Radar →

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: 2020-06-17

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

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
I20200617002177	I	Nurse Practitioner	FL	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.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99214	Established patient office or other outpatient visit, 30-39 minutes	66	14	$0
90833	Psychotherapy with evaluation and management visit, 30 minutes	65	15	$0

View full utilization report →

Insurance plans in this area (ZIP 32246)

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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: 6608114335View full group profile

Name	Specialty	State
DR. LYNNETTE HANSEN KENNISON (PMHCNS-BC)	Nurse Practitioner	FL
DR. THOMAS CAREY MERRITT (M.D.)	P S Y C H I A T R Y	FL
MS. GERALDINE DIANA RODRIGUES-PRATT (ARNP)	Nurse Practitioner	FL
RICHARD MERCER (APRN)	Nurse Practitioner	FL
DOUGLAS TERRY KNAPP (APRN)	Nurse Practitioner	FL
MRS. VIRGINIA MARY GREINER (ARNP)	Nurse Practitioner	FL
HAILEY LAFFERTY (APRN)	Nurse Practitioner	FL

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Frequently asked questions

What is the standard ID for JAMES TULLY (APRN) in the U.S.?

In the U.S., JAMES TULLY (APRN) is identified by NPI 1053933903.

Is JAMES TULLY (APRN)'s NPI status active today?

Active status means JAMES TULLY (APRN)'s NPI record is not deactivated in the public file.

Which specialty label fits JAMES TULLY (APRN)?

NPPES ties JAMES TULLY (APRN) to Psychiatric/Mental Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.

Which community is linked to JAMES TULLY (APRN)?

JAMES TULLY (APRN) shows a connection to Jacksonville, Florida in registry-derived data.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.