TATIYANA RICH – Psychiatric/Mental Health Nurse Practitioner, NPI 1427924372

TATIYANA RICH is a healthcare provider. based in Detroit, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704380139 (MI). The NPI Number for TATIYANA RICH is 1427924372

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
TATIYANA RICH
NPI
1427924372
Phone
(813) 484-9720
Address
15826 KENTUCKY ST
Enumeration Date
16 October 2025
Last Update Date
16 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8328694818235
Graduation Year
2025 (1 year ago)
PAC ID
5092204560
Group Practice PAC ID
7911345764
Professional Enrollment ID
I20251027002590
Address ID
MI481262739DE290XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for TATIYANA RICH

  • 15826 KENTUCKY ST

    DETROIT, MI 482381130

    Phone: (813) 484-9720

    Type: Mailing

  • 5802 S 9TH ST

    KALAMAZOO, MI 490099603

    Phone: (813) 484-9720

    Type: Location

  • 15826 Kentucky St

    Detroit, MI 482381130

    Phone: (813) 484-9720

    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: 2025-10-27

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
I20251027002590INurse PractitionerMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48238)

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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: 7911345764View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
Nurse PractitionerMI
Nurse PractitionerMI
P S Y C H I A T R YMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What identifier follows TATIYANA RICH across health systems?
The NPI 1427924372 uniquely identifies TATIYANA RICH in U.S. healthcare data.
Does the public listing show TATIYANA RICH as active?
TATIYANA RICH's NPI record reflects an active status in NPPES.
What type of care does TATIYANA RICH provide?
TATIYANA RICH's profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TATIYANA RICH?
TATIYANA RICH is associated with Detroit, Michigan 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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