GENEROSE HIPOS TADLE – Primary Care Nurse Practitioner, NPI 1245010008

GENEROSE HIPOS TADLE is a healthcare provider. based in Orlando, Florida. specializing in NURSE PRACTITIONER. They hold a License No. APRN11028818 (FL). The NPI Number for GENEROSE HIPOS TADLE is 1245010008

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
GENEROSE HIPOS TADLE
NPI
1245010008
Phone
(407) 303-7869
Address
2250 BEDFORD RD
Enumeration Date
29 September 2023
Last Update Date
29 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9566553078
Graduation Year
2006 (20 years ago)
PAC ID
0244670594
Group Practice PAC ID
5294110029
Professional Enrollment ID
I20240502003918
Address ID
FL321175167DA301XXPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for GENEROSE HIPOS TADLE

  • 2250 BEDFORD RD

    ORLANDO, FL 328031443

    Phone: (407) 303-7869

    Type: Mailing

  • 145 ALDER AVE

    ALTAMONTE SPG, FL 327142127

    Phone: (407) 907-3933

    Type: Location

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: 2024-05-02

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
I20240502003918INurse PractitionerFLTBD

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 32803)

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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: 5294110029View full group profile
NameSpecialtyState
Infectious Disease, Internal MedicineFL

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Frequently asked questions

Can I verify GENEROSE HIPOS TADLE with an NPI only?
You can start verification with NPI 1245010008 for GENEROSE HIPOS TADLE, then check state licensing separately.
Is GENEROSE HIPOS TADLE listed as active for patients and plans?
The listing shows GENEROSE HIPOS TADLE as active in the NPI system.
What is GENEROSE HIPOS TADLE's specialty?
The listing groups GENEROSE HIPOS TADLE with Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is GENEROSE HIPOS TADLE based?
GENEROSE HIPOS TADLE is tied to Orlando, Florida in the data we show; additional addresses may exist on the full record.
Is the information about GENEROSE HIPOS TADLE up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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