TEDI E. PAYNE – Family Nurse Practitioner, NPI 1083055800
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for TEDI E. PAYNE
PO BOX 2580
SPRINGFIELD, MO 658012580
Phone: (417) 829-4620
Type: Mailing
309 E HOSPITAL RD
EL DORADO SPRINGS, MO 647442021
Phone: (417) 876-5851
Fax: (417) 876-5484
Type: Location
1401 S Park St
El Dorado Springs, MO 647442037
Phone: (417) 876-2511
Fax: (417) 876-3812
Type: Location
1401 S PARK ST
EL DORADO SPRINGS, MO 647442037
Phone: (417) 876-2511
Fax: (417) 876-3812
Type: Mailing
1317 S STATE HIGHWAY 32
EL DORADO SPRINGS, MO 647442302
Phone: (417) 876-3333
Fax: (417) 876-4509
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $617.
Total Amount is formed as General ($617) + Research ($0) + Ownership ($0) = $617.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($180).
Total Amount
$617
General + Research + Ownership
Payments
40
Total payment records
General Amount
$617
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $180 |
| AstraZeneca Pharmaceuticals LP | $119 |
| Otsuka America Pharmaceutical, Inc. | $81 |
| Amgen Inc. | $58 |
| Merck Sharp & Dohme LLC | $40 |
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: 2013-10-09
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 |
|---|---|---|---|---|
| I20131009000731 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Internal Medicine | TX | |
| Internal Medicine, Hospitalist, Internal Medicine, Hospitalist | NE | |
| Emergency Medicine | MO | |
| - | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Emergency Medicine | MO | |
| - | MO | |
| Nurse Practitioner | MO |
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