TANETTA C MAIN (RN, FNP) – Family Nurse Practitioner, NPI 1770548075
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
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Provider Addresses for TANETTA C MAIN (RN, FNP)
Jefferson County Health Center, 2000, South Main Street, Fairfield, Jefferson County, Iowa, 52556, United States
FAIRFIELD, IA 525569572
Phone: (641) 672-3360
Type: Mailing
North 12th Street, Oskaloosa, Mahaska County, Iowa, 52577, United States
OSKALOOSA, IA 525772495
Phone: (641) 672-3360
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-09-05 • Largest payer in this snapshot: PFIZER INC. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $14 |
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: 2011-06-15
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 |
|---|---|---|---|---|
| I20110615000156 | I | Nurse Practitioner | IA | 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 | 321 | 88 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 75 | 44 | $0 |
| G0008 | Administration of influenza virus vaccine | 32 | 32 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 30 | 30 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 18 | 13 | $0 |
Insurance plans in this area (ZIP 52556)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IA | |
| Family Practice | IA | |
| - | IA | |
| Orthopedic Surgery | IA | |
| Family Practice | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Nurse Practitioner | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Physician Assistant | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA |
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