TINA MARIE TKACZEK (NP) – Nurse Practitioner, NPI 1154335354
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
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Provider Addresses for TINA MARIE TKACZEK (NP)
2150, Main Street, Metro Center, North End, Springfield, Hampden County, Massachusetts, 01107, United States
SPRINGFIELD, MA 01104
Phone: (413) 739-5676
Fax: (413) 733-5860
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 6 Open Payments records for all available years, with a total value of $234.
Total Amount is formed as General ($234) + Research ($0) + Ownership ($0) = $234.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($172).
Total Amount
$234
General + Research + Ownership
Payments
6
Total payment records
General Amount
$234
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $172 |
| PFIZER INC. | $42 |
| Philips North America LLC | $21 |
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: 2005-07-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050715000039 | I | Nurse Practitioner | MA | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 224 | 121 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 127 | 91 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 122 | 118 | $0 |
Insurance plans in this area (ZIP 01104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | DC | |
| Family Practice | NY | |
| Nurse Practitioner | MA | |
| Physician Assistant | MA | |
| Emergency Medicine | MA | |
| Internal Medicine | MA | |
| Emergency Medicine | MA | |
| Internal Medicine | MA | |
| Physician Assistant | MA | |
| Nurse Practitioner | CT |
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