TERESA E KIRISITS (PMHNP) – Adult Health Nurse Practitioner, NPI 1619485786
Adult Health Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for TERESA E KIRISITS (PMHNP)
1324 Tippecanoe St
Lafayette, IN 479042051
Phone: (765) 742-1567
Type: Location
6983, Hillsdale Court, Indianapolis, Indiana, 46250, United States
INDIANAPOLIS, IN 462502054
Phone: (317) 849-8350
Fax: (317) 576-6311
Type: Mailing
2330, South Dixon Road, Greentree, Kokomo, Howard County, Indiana, 46902, United States
KOKOMO, IN 469026411
Phone: (765) 455-8822
Fax: (765) 865-3935
Type: Location
PO BOX 1822
INDIANAPOLIS, IN 462061822
Phone:
Type: Mailing
2121 S GOPHER DR BLDG
FRANKFORT, IN 460416800
Phone: (765) 650-7875
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 179 Open Payments records for all available years, with a total value of $9,393.
Total Amount is formed as General ($9,393) + Research ($0) + Ownership ($0) = $9,393.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Avadel CNS Pharmaceuticals, LLC ($4,319).
Total Amount
$9,393
General + Research + Ownership
Payments
179
Total payment records
General Amount
$9,393
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
| Company | Amount |
|---|---|
| Avadel CNS Pharmaceuticals, LLC | $4,319 |
| HARMONY BIOSCIENCES LLC | $953 |
| JAZZ PHARMACEUTICALS INC. | $778 |
| ABBVIE INC. | $636 |
| Teva Pharmaceuticals USA, Inc. | $600 |
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: 2018-02-22
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 |
|---|---|---|---|---|
| I20180222002961 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 155 | 134 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 27 | 27 | $0 |
Insurance plans in this area (ZIP 47904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IN | |
| C H I R O P R A C T I C | IN | |
| C H I R O P R A C T I C | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Nurse Practitioner | IN |
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