DANA FAYE EMBERTON-TINIUS (APRN) – Nurse Practitioner, NPI 1124760657

DANA FAYE EMBERTON-TINIUS (APRN) is a healthcare provider. based in Bowling green, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 1054145 (KY). The NPI Number for DANA FAYE EMBERTON-TINIUS (APRN) is 1124760657

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DANA FAYE EMBERTON-TINIUS (APRN)
NPI
1124760657
Phone
(270) 783-3573
Address
225 NATCHEZ TRACE AVE
Enumeration Date
13 April 2022
Last Update Date
25 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2707833573
Graduation Year
2022 (4 years ago)
PAC ID
7618349416
Group Practice PAC ID
3779521612
Professional Enrollment ID
I20230203001128
Address ID
KY421037995BO225XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for DANA FAYE EMBERTON-TINIUS (APRN)

  • 225 NATCHEZ TRACE AVE

    BOWLING GREEN, KY 421037995

    Phone: (270) 783-3573

    Fax: (270) 783-4081

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $1,102.

Total Amount is formed as General ($1,102) + Research ($0) + Ownership ($0) = $1,102.

Last reported payment date: 2024-09-28 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($284).

Total Amount

$1,102

General + Research + Ownership

Payments

25

Total payment records

General Amount

$1,102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-28

Latest reported date

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: 2023-02-03

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
I20230203001128INurse PractitionerKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42103)

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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: 3779521612View full group profile

Reviews

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Frequently asked questions

What identifier follows DANA FAYE EMBERTON-TINIUS (APRN) across health systems?
The NPI 1124760657 uniquely identifies DANA FAYE EMBERTON-TINIUS (APRN) in U.S. healthcare data.
Should I treat DANA FAYE EMBERTON-TINIUS (APRN) as an active provider?
Patients and plans typically see DANA FAYE EMBERTON-TINIUS (APRN) as active in the national extract.
How should patients interpret DANA FAYE EMBERTON-TINIUS (APRN)'s specialty?
The extract shows Nurse Practitioner for DANA FAYE EMBERTON-TINIUS (APRN). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DANA FAYE EMBERTON-TINIUS (APRN)?
DANA FAYE EMBERTON-TINIUS (APRN) is associated with Bowling Green, Kentucky in the same public data insurers reference.
Who maintains DANA FAYE EMBERTON-TINIUS (APRN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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