TAMMY VANN (ARNP) – Primary Care Nurse Practitioner, NPI 1417476714
Primary Care Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for TAMMY VANN (ARNP)
4500 San Pablo Rd S
Jacksonville, FL 322241865
Phone: (904) 953-2000
Type: Location
203 PINE HAVEN DR
SAINT JOHNS, FL 322597403
Phone:
Type: Mailing
5964 NORMANDY BLVD
JACKSONVILLE, FL 322056212
Phone: (904) 378-0121
Type: Location
San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States
JACKSONVILLE, FL 322241865
Phone:
Type: Mailing
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: 2018-02-28
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 |
|---|---|---|---|---|
| I20180228000824 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 85 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 85 | 85 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 42 | 42 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 25 | 24 | $0 |
| 81003 | Automated urinalysis test | 23 | 23 | $0 |
Insurance plans in this area (ZIP 32224)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| G A S T R O E N T E R O L O G Y | FL |
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