HAILEY ALYSE TETTENHORST (DNP, APRN, FNP-C) – Nurse Practitioner, NPI 1063999795
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
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Provider Addresses for HAILEY ALYSE TETTENHORST (DNP, APRN, FNP-C)
307, West Benton Street, Monett, Barry County, Missouri, 65708, United States
MONETT, MO 65708
Phone: (417) 236-2410
Fax: (417) 236-2425
Type: Location
3805 S Kansas Expy Ste B
Springfield, MO 658076989
Phone: (417) 269-0269
Type: Location
Springfield, Boulevard Émile Krieps, Oberkorn, Differdange, Canton Esch-sur-Alzette, 4543, Luxembourg
SPRINGFIELD, MO 658084046
Phone: (417) 269-5712
Fax: (417) 269-7567
Type: Mailing
PO BOX 7411626
CHICAGO, IL 606745626
Phone:
Type: Mailing
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: 2021-05-12
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 |
|---|---|---|---|---|
| I20210512002059 | I | Nurse Practitioner | MO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 69 | 46 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 52 | 34 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 21 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 25 | 25 | $0 |
Insurance plans in this area (ZIP 65708)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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