TERRI BETH ELLISON (APRN) – Family Nurse Practitioner, NPI 1073137816
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for TERRI BETH ELLISON (APRN)
2469 ELLISON GAMBLE RD
PERRY, FL 323488842
Phone: (850) 843-4582
Type: Mailing
1300 MEDICAL DR
TALLAHASSEE, FL 323084646
Phone: (850) 216-0100
Type: Location
2804 REMINGTON GREEN CIR STE 2
TALLAHASSEE, FL 323081550
Phone: (850) 385-4494
Type: Mailing
1850 S BYRON BUTLER PKWY
PERRY, FL 323485508
Phone: (850) 838-2030
Fax: (850) 838-2040
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $243.
Total Amount is formed as General ($243) + Research ($0) + Ownership ($0) = $243.
Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Novo Nordisk Inc ($129).
Total Amount
$243
General + Research + Ownership
Payments
15
Total payment records
General Amount
$243
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $129 |
| Amgen Inc. | $65 |
| AstraZeneca Pharmaceuticals LP | $28 |
| Boehringer Ingelheim Pharmaceuticals, 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: 2020-06-15
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 |
|---|---|---|---|---|
| I20200615002424 | 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.
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 32348)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| General Practice | PR | |
| - | FL | |
| General Practice | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
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