TIA OH (NP) – Family Nurse Practitioner, NPI 1699054056
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,049 NURSE PRACTITIONER in MA
Provider Addresses for TIA OH (NP)
100 SOUTH ST
SOUTHBRIDGE, MA 015504051
Phone: (508) 765-9771
Fax: (508) 909-7735
Type: Location
PO BOX 40
SOUTHBRIDGE, MA 015500040
Phone: (508) 909-7799
Fax: (508) 909-7750
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $403.
Total Amount is formed as General ($403) + Research ($0) + Ownership ($0) = $403.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Davol Inc. ($161).
Total Amount
$403
General + Research + Ownership
Payments
9
Total payment records
General Amount
$403
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $161 |
| Endo USA, Inc. | $126 |
| PFIZER INC. | $81 |
| Novartis Pharmaceuticals Corporation | $21 |
| E.R. Squibb & Sons, L.L.C. | $13 |
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: 2011-11-05
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20111105000067 | 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 | 164 | 95 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 43 | 43 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 25 | 13 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 01550)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| - | MA | |
| Family Practice | MA | |
| Physician Assistant | MA | |
| A N E S T H E S I O L O G Y | NY | |
| Pulmonary Disease, Critical Care (Intensivists), Allergy/Immunology | MA | |
| - | MA | |
| - | MA | |
| Internal Medicine | MA | |
| Nurse Practitioner | MA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.