MRS. MARY ELIZABETH TULLOS (NP-C) – Family Nurse Practitioner, NPI 1639339682
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,566 NURSE PRACTITIONER in MS
Provider Addresses for MRS. MARY ELIZABETH TULLOS (NP-C)
3451 GOODMAN RD E STE 115
SOUTHAVEN, MS 386729304
Phone: (662) 890-5555
Fax: (662) 890-8899
Type: Location
1150, Casino Strip Resort Boulevard, Commerce, Tunica County, Mississippi, 38664, United States
ROBINSONVILLE, MS 38664
Phone: (662) 357-7707
Fax: (662) 357-7807
Type: Location
5220 Park Ave Ste 150
Memphis, TN 381193548
Phone: (901) 755-2255
Fax: (901) 755-9566
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 120 Open Payments records for all available years, with a total value of $2,118.
Total Amount is formed as General ($2,118) + Research ($0) + Ownership ($0) = $2,118.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Lilly USA, LLC ($429).
Total Amount
$2,118
General + Research + Ownership
Payments
120
Total payment records
General Amount
$2,118
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $429 |
| Novo Nordisk Inc | $288 |
| Bayer Healthcare Pharmaceuticals Inc. | $183 |
| AstraZeneca Pharmaceuticals LP | $177 |
| Abbott Laboratories | $80 |
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: 2010-06-18
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 |
|---|---|---|---|---|
| I20100618000242 | 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 38672)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | GA | |
| Internal Medicine | MS | |
| Physician Assistant | TN | |
| Family Practice | TN | |
| Nurse Practitioner | MS | |
| Family Practice | MS | |
| - | MS | |
| Internal Medicine, Pediatric Medicine | MS |
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.