TATANISHA FUNCHES – Family Nurse Practitioner, NPI 1336667070
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for TATANISHA FUNCHES
6142 Roosevelt Rd Ste 202-3
Oak Park, IL 603042311
Phone: (224) 384-5465
Fax: (224) 592-7559
Type: Location
6142 ROOSEVELT RD STE 202-3
OAK PARK, IL 603042311
Phone: (224) 384-5465
Fax: (224) 592-7559
Type: Mailing
South Wacker Drive, Printer's Row, Loop, South Loop, Chicago, Cook County, Illinois, 60604, United States
CHICAGO, IL 606064438
Phone: (312) 416-3804
Type: Mailing
2504 WASHINGTON ST STE 102
WAUKEGAN, IL 600854960
Phone: (847) 623-7590
Fax: (847) 623-7591
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $340.
Total Amount is formed as General ($340) + Research ($0) + Ownership ($0) = $340.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novo Nordisk Inc ($184).
Total Amount
$340
General + Research + Ownership
Payments
19
Total payment records
General Amount
$340
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
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: 2024-05-08
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 |
|---|---|---|---|---|
| I20240508002761 | 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 60304)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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