MS. TAMMY DUBOSE (PMHNP) – Registered Nurse, NPI 1437494630

MS. TAMMY DUBOSE (PMHNP) is a healthcare provider. based in Vernon hills, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 209028247 (IL). The NPI Number for MS. TAMMY DUBOSE (PMHNP) is 1437494630

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MS. TAMMY DUBOSE (PMHNP)
NPI
1437494630
Phone
(847) 377-7950
Address
24647 N MILWAUKEE AVE
Enumeration Date
29 November 2012
Last Update Date
5 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8473774650
Graduation Year
2021 (5 years ago)
PAC ID
8729455621
Group Practice PAC ID
7214838861
Professional Enrollment ID
I20221107001058
Address ID
IL600852321WA3010XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MS. TAMMY DUBOSE (PMHNP)

  • 24647 N MILWAUKEE AVE

    VERNON HILLS, IL 600611567

    Phone: (847) 377-7950

    Fax: (847) 984-5635

    Type: Mailing

  • 3010 GRAND AVE

    WAUKEGAN, IL 600852321

    Phone: (847) 377-8000

    Type: Mailing

  • 3004 GRAND AVE

    WAUKEGAN, IL 600852321

    Phone: (401) 602-3938

    Type: Location

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: 2024-03-29

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
I20240329001431INurse PractitionerILTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes12123$0
View full utilization report →

Insurance plans in this area (ZIP 60061)

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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: 7214838861View full group profile
NameSpecialtyState
Nurse PractitionerIL
-IL
P S Y C H I A T R YIL
-IL
Nurse PractitionerFL
Family PracticeIL
Clinical Social WorkerIL
Internal MedicineIL
Family PracticeIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

Does MS. TAMMY DUBOSE (PMHNP) have a public NPI I can cite?
Public records show MS. TAMMY DUBOSE (PMHNP) under NPI 1437494630.
Does the public listing show MS. TAMMY DUBOSE (PMHNP) as active?
MS. TAMMY DUBOSE (PMHNP)'s NPI record reflects an active status in NPPES.
How should patients interpret MS. TAMMY DUBOSE (PMHNP)'s specialty?
The extract shows Registered Nurse for MS. TAMMY DUBOSE (PMHNP). Clinical services aligned with this taxonomy classification.
Is MS. TAMMY DUBOSE (PMHNP) tied to Vernon Hills, Illinois?
If you are local to Vernon Hills, Illinois, MS. TAMMY DUBOSE (PMHNP) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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