MRS. TAMMY G PRUSE (DO) – Family Medicine Physician, NPI 1356336812

MRS. TAMMY G PRUSE (DO) is a healthcare provider. based in Gulf breeze, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS 8320 (FL). The NPI Number for MRS. TAMMY G PRUSE (DO) is 1356336812

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TAMMY G PRUSE (DO)
NPI
1356336812
Phone
(850) 916-3680
Address
1200 GULF BREEZE PKWY STE B
Enumeration Date
12 September 2005
Last Update Date
17 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8502086160
Graduation Year
1999 (27 years ago)
PAC ID
1759273402
Group Practice PAC ID
9638215734
Professional Enrollment ID
I20040326001053
Address ID
FL325145485PE9400XPKWY300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

6,723 FAMILY PRACTICE in FL

Provider Addresses for MRS. TAMMY G PRUSE (DO)

  • 1200 GULF BREEZE PKWY STE B

    GULF BREEZE, FL 32561

    Phone: (850) 916-3680

    Fax: (850) 916-3689

    Type: Location

  • PO BOX 17567

    PENSACOLA, FL 325227567

    Phone: (850) 916-3680

    Type: Mailing

  • PO BOX 95590

    SOUTH JORDAN, UT 840950590

    Phone: (801) 352-9500

    Fax: (801) 352-7976

    Type: Mailing

  • 3874 HIGHWAY 90 STE 101

    PACE, FL 325711014

    Phone: (850) 908-2315

    Fax: (850) 908-2307

    Type: Location

  • 2115 W Nine Mile Rd Ste 2

    Pensacola, FL 325349438

    Phone: (850) 908-1950

    Fax: (850) 908-1959

    Type: Location

  • 1200 Gulf Breeze Pkwy Ste B

    Gulf Breeze, FL 32561

    Phone: (850) 916-3680

    Fax: (850) 916-3689

    Type: Location

  • 9400 University Pkwy

    Suite 409

    Pensacola, FL 325145752

    Phone: (850) 208-6160

    Fax: (850) 208-6169

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 92 Open Payments records for all available years, with a total value of $1,299.

Total Amount is formed as General ($1,299) + Research ($0) + Ownership ($0) = $1,299.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($405).

Total Amount

$1,299

General + Research + Ownership

Payments

92

Total payment records

General Amount

$1,299

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-03-26

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
I20040326001053IFamily PracticeFLTBD

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes670279$0
99213Established patient office or other outpatient visit, 20-29 minutes145107$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit123123$0
99215Established patient office or other outpatient visit, 40-54 minutes4642$0
G0444Annual depression screening, 5 to 15 minutes4242$0
View full utilization report →

Insurance plans in this area (ZIP 32561)

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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: 9638215734View full group profile

Reviews

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Frequently asked questions

Is MRS. TAMMY G PRUSE (DO) listed with a National Provider Identifier?
Yes — MRS. TAMMY G PRUSE (DO) has NPI 1356336812 on file in the registry.
Active or inactive — what applies to MRS. TAMMY G PRUSE (DO)?
You should see MRS. TAMMY G PRUSE (DO) as active in CMS-hosted NPPES data.
What kind of doctor is MRS. TAMMY G PRUSE (DO)?
MRS. TAMMY G PRUSE (DO) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is MRS. TAMMY G PRUSE (DO) registered?
Use Gulf Breeze, Florida as the headline location for MRS. TAMMY G PRUSE (DO) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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