MRS. CHARLYN TUPAZ (CRNP) – Primary Care Nurse Practitioner, NPI 1114504362

MRS. CHARLYN TUPAZ (CRNP) is a healthcare provider. based in Riverdale, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. R210411 (MD). The NPI Number for MRS. CHARLYN TUPAZ (CRNP) is 1114504362

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CHARLYN TUPAZ (CRNP)
NPI
1114504362
Phone
(301) 927-7800
Address
5711 SARVIS AVE STE 302
Enumeration Date
25 March 2021
Last Update Date
25 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7037177100
Graduation Year
2020 (6 years ago)
PAC ID
9537569769
Group Practice PAC ID
8426231119
Professional Enrollment ID
I20210610000014
Address ID
VA220413145FA3440XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for MRS. CHARLYN TUPAZ (CRNP)

  • 5711 SARVIS AVE STE 302

    RIVERDALE, MD 207371394

    Phone: (301) 927-7800

    Type: Mailing

  • 701 N GEORGE MASON DR

    ARLINGTON, VA 222031438

    Phone: (703) 558-5000

    Type: Location

  • 4701 Melbourne Pl

    College Park, MD 207402540

    Phone: (301) 450-5631

    Type: Location

  • 5711 Sarvis Ave

    Riverdale, MD 207371394

    Phone: (301) 927-7800

    Type: Location

  • 6201 GREENBELT RD STE M16

    BERWYN HEIGHTS, MD 207402333

    Phone: (301) 441-4400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Lilly USA, LLC ($63).

Total Amount

$130

General + Research + Ownership

Payments

6

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-06-10

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210610000014INurse PractitionerDCTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2521$0
99214Established patient office or other outpatient visit, 30-39 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 20737)

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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: 8426231119View full group profile
NameSpecialtyState
-VA
O B S T E T R I C S/ G Y N E C O L O G YMD
O B S T E T R I C S/ G Y N E C O L O G YVA
General SurgeryMD
-DC
Internal MedicineVA
Internal MedicineDC
-VA
O B S T E T R I C S/ G Y N E C O L O G YMA
Family PracticeOH

Reviews

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Frequently asked questions

Can I cross-check MRS. CHARLYN TUPAZ (CRNP) using NPI 1114504362?
NPI 1114504362 belongs to MRS. CHARLYN TUPAZ (CRNP); compare other details if you need extra assurance.
Active or inactive — what applies to MRS. CHARLYN TUPAZ (CRNP)?
You should see MRS. CHARLYN TUPAZ (CRNP) as active in CMS-hosted NPPES data.
What area of care is associated with MRS. CHARLYN TUPAZ (CRNP)?
MRS. CHARLYN TUPAZ (CRNP)'s record emphasizes Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. CHARLYN TUPAZ (CRNP)?
Travel planning: use Riverdale, Maryland as the reference point for MRS. CHARLYN TUPAZ (CRNP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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