MRS. ANDREA TENNANCOUR (NP) – Adult Health Nurse Practitioner, NPI 1356866834
Adult Health Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for MRS. ANDREA TENNANCOUR (NP)
1531 WATERFORD DR
ZIONSVILLE, IN 460773818
Phone: (317) 833-0585
Type: Mailing
14350 MUNDY DR
NOBLESVILLE, IN 460607223
Phone: (317) 922-0909
Type: Location
PO BOX 637764
CINCINNATI, OH 452637764
Phone: (317) 880-3939
Type: Mailing
720 ESKENAZI AVE
INDIANAPOLIS, IN 462025187
Phone: (317) 880-7666
Type: Location
MY MOBILE MD LLC
7007 GRAHAM ROAD SUITE 215
INDIANAPOLIS, IN 46220
Phone: (317) 559-0950
Fax: (317) 936-3028
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $92.
Total Amount is formed as General ($92) + Research ($0) + Ownership ($0) = $92.
Last reported payment date: 2023-05-09 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($21).
Total Amount
$92
General + Research + Ownership
Payments
5
Total payment records
General Amount
$92
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $21 |
| Noven Therapeutics, LLC | $20 |
| Novo Nordisk Inc | $18 |
| ITI, Inc. | $17 |
| Corium, LLC | $16 |
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: 2017-09-07
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 |
|---|---|---|---|---|
| I20170907001350 | I | Nurse Practitioner | IN | 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 46077)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| H O S P I T A L I S T | OH | |
| - | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | OH | |
| Internal Medicine, Hospitalist | NM | |
| Internal Medicine | IN | |
| - | IN | |
| Internal Medicine | IN | |
| Hospitalist, Pediatric Medicine | IN |
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