TAMIKA Y WALLEN – Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1437250115
Psychiatric/Mental Health Clinical Nurse Specialist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
199 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in MA
Provider Addresses for TAMIKA Y WALLEN
55 Lake Ave N
Worcester, MA 016550002
Phone: (774) 442-3058
Type: Location
340 THOMPSON RD
WEBSTER, MA 015701509
Phone: (508) 640-2991
Fax: (508) 943-2605
Type: Location
Hood Medical Library, 157, Union Street, Marlborough, Middlesex County, Massachusetts, 01752, United States
MARLBOROUGH, MA 017521228
Phone: (508) 486-5544
Fax: (508) 229-1214
Type: Location
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
BOSTON, MA 022415348
Phone: (800) 225-8885
Fax: (508) 334-1977
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $97.
Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.
Last reported payment date: 2024-03-12 • Largest payer in this snapshot: Alkermes, Inc. ($97).
Total Amount
$97
General + Research + Ownership
Payments
1
Total payment records
General Amount
$97
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $97 |
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: 2004-12-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041203000021 | I | Certified Clinical Nurse Specialist (Cns) | 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 | 185 | 25 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 17 | 17 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 14 | 13 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 14 | 14 | $0 |
Insurance plans in this area (ZIP 01655)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| - | MA | |
| - | MA | |
| Family Practice | MA | |
| Physician Assistant | MA | |
| Pulmonary Disease, Critical Care (Intensivists), Allergy/Immunology | MA | |
| - | MA | |
| - | MA | |
| Internal Medicine | MA | |
| Nurse Practitioner | MA |
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