MRS. TAMARA NICHOLE GAISHIN (PA-C) – Physician Assistant, NPI 1508115965
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for MRS. TAMARA NICHOLE GAISHIN (PA-C)
4025 Health Park Ln
Saint Joseph, MI 490853421
Phone: (269) 429-7100
Fax: (269) 429-1959
Type: Location
400 Medical Park Dr Ste 200
Watervliet, MI 490989225
Phone: (269) 463-3600
Type: Location
4025 HEALTH PARK LN
SAINT JOSEPH, MI 490853421
Phone: (269) 429-7100
Fax: (269) 429-1959
Type: Mailing
5515 Cleveland Ave
Stevensville, MI 491279669
Phone: (269) 429-9677
Type: Location
2002 S 11th St
Niles, MI 491204074
Phone: (269) 687-0200
Type: Location
525 S CENTER ST
HARTFORD, MI 490571362
Phone: (269) 463-3600
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 $165.
Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($33).
Total Amount
$165
General + Research + Ownership
Payments
9
Total payment records
General Amount
$165
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2013-04-17
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 |
|---|---|---|---|---|
| I20130417000306 | I | Physician Assistant | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49085)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Clinical Psychologist | PA | |
| Family Practice | MI | |
| Internal Medicine | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| Family Practice | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI |
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.