TESSA E MCCOY (NP) – Family Nurse Practitioner, NPI 1558816751
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for TESSA E MCCOY (NP)
250 N SHADELAND AVE STE 200
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
1800 E LAKE SHORE DR
DECATUR, IL 625213810
Phone: (414) 290-6720
Fax: (414) 290-6755
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $532.
Total Amount is formed as General ($532) + Research ($0) + Ownership ($0) = $532.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Gilead Sciences, Inc. ($235).
Total Amount
$532
General + Research + Ownership
Payments
24
Total payment records
General Amount
$532
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
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: 2025-05-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20190219000197 | I | Nurse Practitioner | IN | TBD |
| I20250513003011 | I | Nurse Practitioner | TN | TBD |
| I20250519000451 | I | Nurse Practitioner | VA | TBD |
| I20250519001686 | I | Nurse Practitioner | KY | TBD |
| I20250528001962 | I | Nurse Practitioner | OH | 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 46219)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OH | |
| Nurse Practitioner | TN | |
| Physician Assistant | KY | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Family Practice | WV | |
| Emergency Medicine, General Practice | OH |
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