MR. DIVINE F. TICHA – Psychiatric/Mental Health Nurse Practitioner, NPI 1750649554

MR. DIVINE F. TICHA is a healthcare provider. based in Laurel, Maryland. specializing in NURSE PRACTITIONER. They hold a License No. R197963 (MD). The NPI Number for MR. DIVINE F. TICHA is 1750649554

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MR. DIVINE F. TICHA
NPI
1750649554
Phone
(240) 491-2868
Address
13994 BALTIMORE AVENUE
Enumeration Date
30 April 2012
Last Update Date
23 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3018315850
Graduation Year
2021 (5 years ago)
PAC ID
2365821063
Group Practice PAC ID
6002719226
Professional Enrollment ID
I20220627003630
Address ID
MD217714115MT4101XPIKE401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for MR. DIVINE F. TICHA

  • 13994 BALTIMORE AVENUE

    13994 BALTIMORE AVENUE SUITE 102

    LAUREL, MD 20707

    Phone: (240) 491-2868

    Fax: (301) 477-1758

    Type: Mailing

  • 1818 NEW YORK AVE NE

    117 GLOBAL HEALTHCARE

    WASHINGTON, DC 20002

    Phone: (202) 480-0813

    Fax: (202) 503-2363

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2023-12-12 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($35).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-12

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: 2022-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220627003497INurse PractitionerDCTBD
I20220627003630INurse PractitionerMDTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,948294$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes279160$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes132132$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 20707)

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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: 6002719226View full group profile
NameSpecialtyState
-MD
Clinical Social WorkerMD
Nurse PractitionerMD
-DC
P S Y C H I A T R YPA
Nurse PractitionerDC
Nurse PractitionerPA
General Practice, PsychiatryNJ
Nurse PractitionerPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

What number should I use to identify MR. DIVINE F. TICHA for billing?
Administrative and clinical systems typically use NPI 1750649554 for MR. DIVINE F. TICHA.
Does the public listing show MR. DIVINE F. TICHA as active?
MR. DIVINE F. TICHA's NPI record reflects an active status in NPPES.
What type of care does MR. DIVINE F. TICHA provide?
MR. DIVINE F. TICHA's profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. DIVINE F. TICHA?
MR. DIVINE F. TICHA is associated with Laurel, Maryland in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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