TAMMY DIANE DONNICK – Primary Care Nurse Practitioner, NPI 1760120877

TAMMY DIANE DONNICK is a healthcare provider. based in Stuart, Florida. specializing in NURSE PRACTITIONER. They hold a License No. APRN11019886 (FL). The NPI Number for TAMMY DIANE DONNICK is 1760120877

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
TAMMY DIANE DONNICK
NPI
1760120877
Phone
(772) 247-7856
Address
2100 SE OCEAN BLVD STE 103
Enumeration Date
27 May 2022
Last Update Date
5 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7727942222
Graduation Year
2022 (4 years ago)
PAC ID
0941689517
Group Practice PAC ID
0446152789
Professional Enrollment ID
I20220628002463
Address ID
FL329604502VE1715XPLAC301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for TAMMY DIANE DONNICK

  • 2100 SE OCEAN BLVD STE 103

    STUART, FL 349963332

    Phone: (772) 247-7856

    Fax: (772) 247-7854

    Type: Location

  • 1715 37TH PL

    FL 2

    VERO BEACH, FL 329604508

    Phone: (772) 473-6239

    Type: Mailing

  • 23 HARBOUR ISLE DR W UNIT PH02

    FORT PIERCE, FL 349492775

    Phone: (772) 473-6239

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($41).

Total Amount

$116

General + Research + Ownership

Payments

6

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

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: 2022-06-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220628002463INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes333265$0
G0442Annual alcohol misuse screening, 5 to 15 minutes276276$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit275275$0
G0444Annual depression screening, 5 to 15 minutes264264$0
99497Advance care planning, first 30 minutes147147$0
View full utilization report →

Insurance plans in this area (ZIP 34996)

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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: 0446152789View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
Family PracticeFL
Family PracticeFL
Internal MedicinePA
Family PracticeFL
Internal Medicine, Cardiovascular Disease (Cardiology)NJ
Internal MedicineFL
Internal MedicineFL

Reviews

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Frequently asked questions

How do payers reference TAMMY DIANE DONNICK?
For TAMMY DIANE DONNICK, use NPI 1760120877 as the unique 10-digit identifier.
Is there an active status for TAMMY DIANE DONNICK?
For scheduling context, TAMMY DIANE DONNICK is shown as active in the registry.
How would a patient describe TAMMY DIANE DONNICK's focus?
For TAMMY DIANE DONNICK, the primary taxonomy reads as Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Florida is TAMMY DIANE DONNICK registered?
Use Stuart, Florida as the headline location for TAMMY DIANE DONNICK here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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