MS. KYRA DEE TATMAN (NP) – Nurse Practitioner, NPI 1679768774
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
Provider Addresses for MS. KYRA DEE TATMAN (NP)
11141 Parkview Plaza Dr Ste 305
Fort Wayne, IN 468451715
Phone: (260) 266-8900
Fax: (260) 266-8935
Type: Location
621 Memorial Dr Ste 502
South Bend, IN 466011075
Phone: (574) 647-5875
Fax: (574) 647-5878
Type: Location
615 N MICHIGAN ST STE 502
SOUTH BEND, IN 466011033
Phone: (574) 647-5875
Fax: (574) 647-5878
Type: Location
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 466171924
Phone: (574) 647-1610
Fax: (574) 237-6069
Type: Mailing
621 MEMORIAL DR STE 502
SOUTH BEND, IN 466011075
Phone: (574) 647-5875
Fax: (574) 647-5878
Type: Location
2900 16TH ST
BEDFORD, IN 474213510
Phone: (812) 275-1381
Fax: (812) 275-1299
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: 2024-10-01
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 |
|---|---|---|---|---|
| I20200305001237 | I | Nurse Practitioner | IN | TBD |
| I20241001000493 | I | Nurse Practitioner | PA | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 64 | 64 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 32 | 32 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 27 | 27 | $0 |
Insurance plans in this area (ZIP 46845)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Emergency Medicine | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| Critical Care (Intensivists), Nephrology | IN | |
| Hospitalist, Internal Medicine | IN | |
| Emergency Medicine, Pathology | IN | |
| Emergency Medicine | IN | |
| Pulmonary Disease, Internal Medicine | IN | |
| Orthopedic Surgery | IN |
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