DR. TINA TERESA MOND (DNP, APRN-FPA) – Family Nurse Practitioner, NPI 1043704349
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. TINA TERESA MOND (DNP, APRN-FPA)
2810 FRANK SCOTT PARKWAY, WEST
SUITE 708
BELLEVILLE, IL 622235007
Phone: (314) 252-8704
Fax: (251) 873-1836
Type: Mailing
100 N 8TH ST STE 120
EAST SAINT LOUIS, IL 622012989
Phone: (618) 274-9105
Fax: (618) 274-9101
Type: Mailing
2810 FRANK SCOTT PARKWAY WEST
SUITE 708
BELLEVILLE, IL 622235007
Phone: (314) 252-8704
Fax: (251) 873-1836
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $649.
Total Amount is formed as General ($649) + Research ($0) + Ownership ($0) = $649.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($146).
Total Amount
$649
General + Research + Ownership
Payments
41
Total payment records
General Amount
$649
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-05-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190502001038 | I | Nurse Practitioner | IL | 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 62223)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| Family Practice | ID | |
| Mental Health Counselor | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Cardiovascular Disease (Cardiology) | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL |
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