MRS. DALTREY ANNE TYREE (PMHNP, APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1619968542
Psychiatric/Mental Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
7,343 NURSE PRACTITIONER in KY
Provider Addresses for MRS. DALTREY ANNE TYREE (PMHNP, APRN)
1300 ANDREA ST STE 205
BOWLING GREEN, KY 421043382
Phone: (270) 205-4585
Fax: (270) 936-7333
Type: Mailing
1911 Scottsville Rd Ste B
Bowling Green, KY 421043303
Phone: (270) 421-3397
Fax: (270) 550-2008
Type: Location
1911 B Scottsville Rd
Bowling Green, KY 421043303
Phone: (270) 421-3397
Type: Location
1911, Scottsville Road, Eastland Park, Bowling Green, Warren County, Kentucky, 42104, United States
BOWLING GREEN, KY 421043303
Phone: (270) 421-3397
Type: Location
1911B SCOTTSVILLE RD
BOWLING GREEN, KY 421043303
Phone: (270) 421-3397
Fax: (270) 550-2008
Type: Mailing
1911 B SCOTTSVILLE RD
BOWLING GREEN, KY 421043303
Phone: (270) 421-3397
Type: Location
730 FAIRVIEW AVE STE B3
BOWLING GREEN, KY 421012365
Phone: (270) 715-0665
Fax: (270) 550-2008
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 165 Open Payments records for all available years, with a total value of $2,912.
Total Amount is formed as General ($2,912) + Research ($0) + Ownership ($0) = $2,912.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($558).
Total Amount
$2,912
General + Research + Ownership
Payments
165
Total payment records
General Amount
$2,912
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $558 |
| Teva Pharmaceuticals USA, Inc. | $463 |
| Alkermes, Inc. | $365 |
| ITI, Inc. | $301 |
| Vanda Pharmaceuticals Inc. | $228 |
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: 2019-05-10
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 |
|---|---|---|---|---|
| I20190510001929 | I | Nurse Practitioner | KY | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 87 | 30 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 84 | 24 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 63 | 24 | $0 |
Insurance plans in this area (ZIP 42104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY |
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