TAMMIE D MCCLENDON (CNP) – Adult Health Nurse Practitioner, NPI 1639509508

TAMMIE D MCCLENDON (CNP) is a healthcare provider. based in Taylor, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 4704202622 (MI). The NPI Number for TAMMIE D MCCLENDON (CNP) is 1639509508

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
TAMMIE D MCCLENDON (CNP)
NPI
1639509508
Phone
(734) 941-4991
Address
26650 EUREKA RD
Enumeration Date
13 November 2013
Last Update Date
8 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8005276266
Graduation Year
2013 (13 years ago)
PAC ID
5294965844
Group Practice PAC ID
8628087681
Professional Enrollment ID
I20140228000064
Address ID
MI482012013DE4100XSTXX400
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for TAMMIE D MCCLENDON (CNP)

  • 26650 EUREKA RD

    SUITE C-1

    TAYLOR, MI 481804835

    Phone: (734) 941-4991

    Fax: (734) 941-4919

    Type: Mailing

  • 501 N Maple Rd

    Ann Arbor, MI 481032827

    Phone: (800) 395-3223

    Fax: (833) 329-6632

    Type: Location

  • 2500 HAMLIN DR

    INKSTER, MI 481412348

    Phone: (313) 561-5100

    Fax: (313) 565-0309

    Type: Location

  • 26650 EUREKA RD STE C-1

    TAYLOR, MI 481804835

    Phone: (734) 941-4991

    Fax: (734) 941-4919

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $1,920.

Total Amount is formed as General ($1,920) + Research ($0) + Ownership ($0) = $1,920.

Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Theratechnologies Inc. ($500).

Total Amount

$1,920

General + Research + Ownership

Payments

17

Total payment records

General Amount

$1,920

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2014-02-28

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
I20140228000064INurse 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 48180)

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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: 8628087681View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology)MI
H O S P I T A L I S TMI
-MI
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)MI
Internal Medicine, Infectious DiseaseMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Pulmonary Disease, Critical Care (Intensivists)MI
O P H T H A L M O L O G YPA

Reviews

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Frequently asked questions

How do I look up TAMMIE D MCCLENDON (CNP) by NPI?
Use NPI 1639509508 when you need to reference TAMMIE D MCCLENDON (CNP) in forms, claims, or directories.
Is TAMMIE D MCCLENDON (CNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize TAMMIE D MCCLENDON (CNP)'s specialty in plain language?
Clinically, the directory lists TAMMIE D MCCLENDON (CNP) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for TAMMIE D MCCLENDON (CNP)?
The page summarizes Taylor, Michigan for TAMMIE D MCCLENDON (CNP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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