MRS. TERA KAY WALDROUP (RN, APN, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1710250055

MRS. TERA KAY WALDROUP (RN, APN, PMHNP) is a healthcare provider. based in Centerville, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, APN, PMHNP. They hold a License No. RN2278241 (MA). The NPI Number for MRS. TERA KAY WALDROUP (RN, APN, PMHNP) is 1710250055

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TERA KAY WALDROUP (RN, APN, PMHNP)
NPI
1710250055
Phone
(214) 718-0543
Address
224 PATRIOT WAY
Enumeration Date
16 February 2012
Last Update Date
30 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3256587750368
Graduation Year
2012 (14 years ago)
PAC ID
7719204320
Group Practice PAC ID
7719936533
Professional Enrollment ID
I20150319000947
Address ID
TX769034842SA202XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for MRS. TERA KAY WALDROUP (RN, APN, PMHNP)

  • 224 PATRIOT WAY

    CENTERVILLE, MA 026321514

    Phone: (214) 718-0543

    Type: Mailing

  • 94 MAIN ST

    HYANNIS, MA 026013146

    Phone: (508) 771-9599

    Fax: (508) 771-1208

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-03-19

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
I20150319000947INurse PractitionerTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3014$0
View full utilization report →

Insurance plans in this area (ZIP 02632)

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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: 7719936533View full group profile

Reviews

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Frequently asked questions

What is MRS. TERA KAY WALDROUP (RN, APN, PMHNP)'s NPI number?
MRS. TERA KAY WALDROUP (RN, APN, PMHNP)'s NPI is 1710250055 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MRS. TERA KAY WALDROUP (RN, APN, PMHNP)?
You should see MRS. TERA KAY WALDROUP (RN, APN, PMHNP) as active in CMS-hosted NPPES data.
What kind of doctor is MRS. TERA KAY WALDROUP (RN, APN, PMHNP)?
MRS. TERA KAY WALDROUP (RN, APN, PMHNP) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is MRS. TERA KAY WALDROUP (RN, APN, PMHNP) located near Centerville?
MRS. TERA KAY WALDROUP (RN, APN, PMHNP) currently maps to Centerville, Massachusetts in this extract.
Can I trust this NPI listing for MRS. TERA KAY WALDROUP (RN, APN, PMHNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.