TINA HALL – Family Nurse Practitioner, NPI 1578039707
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for TINA HALL
2253 N FLAMINGO LN
SCHELLER, IL 628833009
Phone: (618) 315-1757
Type: Mailing
4107, South Water Tower Place, Mount Vernon, Jefferson County, Illinois, 62864, United States
MOUNT VERNON, IL 628646293
Phone: (618) 244-0031
Fax: (618) 244-0056
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 133 Open Payments records for all available years, with a total value of $2,075.
Total Amount is formed as General ($2,075) + Research ($0) + Ownership ($0) = $2,075.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($307).
Total Amount
$2,075
General + Research + Ownership
Payments
133
Total payment records
General Amount
$2,075
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $307 |
| Lilly USA, LLC | $274 |
| Sun Pharmaceutical Industries Inc. | $202 |
| Novartis Pharmaceuticals Corporation | $195 |
| Janssen Biotech, Inc. | $140 |
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: 2024-02-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190118000690 | I | Nurse Practitioner | IL | TBD |
| I20240227004509 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,874 | 351 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 853 | 620 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 638 | 474 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 318 | 276 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 249 | 200 | $0 |
Insurance plans in this area (ZIP 62883)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | NH | |
| Physician Assistant | FL | |
| Physician Assistant | CA | |
| D E R M A T O L O G Y | FL | |
| Plastic And Reconstructive Surgery | FL | |
| Physician Assistant | FL |
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