TANETTA C MAIN (RN, FNP) – Family Nurse Practitioner, NPI 1770548075

TANETTA C MAIN (RN, FNP) is a healthcare provider. based in Fairfield, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, FNP. They hold a License No. A-112035 (IA). The NPI Number for TANETTA C MAIN (RN, FNP) is 1770548075

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
TANETTA C MAIN (RN, FNP)
NPI
1770548075
Phone
(641) 672-3360
Address
2000 S MAIN ST
Enumeration Date
19 April 2006
Last Update Date
19 June 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
6414724111
Graduation Year
2005 (21 years ago)
PAC ID
6406865559
Group Practice PAC ID
9335059575
Professional Enrollment ID
I20110615000156
Address ID
IA525569572FA2000XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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

CompanyAmount
PFIZER INC.$14
View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110615000156INurse PractitionerIATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes32188$0
99213Established patient office or other outpatient visit, 20-29 minutes7544$0
G0008Administration of influenza virus vaccine3232$0
90662Influenza vaccine split virus, preservative free3030$0
99215Established patient office or other outpatient visit, 40-54 minutes1813$0
View full utilization report →

Insurance plans in this area (ZIP 52556)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335059575View full group profile
NameSpecialtyState
Physician AssistantIA
Family PracticeIA
-IA
Orthopedic SurgeryIA
Family PracticeIA
Certified Registered Nurse Anesthetist (Crna)IL
Nurse PractitionerIA
Certified Registered Nurse Anesthetist (Crna)IA
Physician AssistantIA
Certified Registered Nurse Anesthetist (Crna)IA

Reviews

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Frequently asked questions

Can I cross-check TANETTA C MAIN (RN, FNP) using NPI 1770548075?
NPI 1770548075 belongs to TANETTA C MAIN (RN, FNP); compare other details if you need extra assurance.
Active or inactive — what applies to TANETTA C MAIN (RN, FNP)?
You should see TANETTA C MAIN (RN, FNP) as active in CMS-hosted NPPES data.
How would a patient describe TANETTA C MAIN (RN, FNP)'s focus?
For TANETTA C MAIN (RN, FNP), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Iowa is TANETTA C MAIN (RN, FNP) registered?
Use Fairfield, Iowa as the headline location for TANETTA C MAIN (RN, FNP) here.
When was this NPI issued?
Enumeration for TANETTA C MAIN (RN, FNP) is noted as April 19, 2006 where the registry provides it.

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