ALLISON TUCKER MCCULLEY – Psychiatric/Mental Health Nurse Practitioner, NPI 1215705488
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for ALLISON TUCKER MCCULLEY
1809 MARIANNA RD
HOLLY SPRINGS, MS 386357705
Phone: (901) 489-3739
Type: Mailing
11100 HIGHWAY 64
BOLIVAR, TN 380081554
Phone: (731) 228-2000
Type: Location
9035 E Sandidge Rd Ste 201
Olive Branch, MS 386543563
Phone: (662) 234-7601
Type: Location
4428 S Eason Blvd
Tupelo, MS 388016506
Phone: (662) 234-7601
Type: Location
1203 Medical Park Dr
Oxford, MS 386555327
Phone: (662) 234-7601
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: 2025-09-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240716004233 | I | Nurse Practitioner | TN | TBD |
| I20250924003882 | I | Nurse Practitioner | MS | 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 38635)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Emergency Medicine | MI | |
| H O S P I T A L I S T | TN | |
| Emergency Medicine | TX | |
| Nurse Practitioner | TN | |
| Internal Medicine, Pediatric Medicine | TN | |
| Emergency Medicine | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Emergency Medicine | IL |
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