MRS. TIA M RADEMAKER (FNP-BC) – Family Nurse Practitioner, NPI 1740514546
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 MRS. TIA M RADEMAKER (FNP-BC)
PO BOX 801143
KANSAS CITY, MO 641801143
Phone: (573) 331-3000
Fax: (573) 331-5073
Type: Mailing
1702 N KINGSHIGHWAY ST
CAPE GIRARDEAU, MO 637012122
Phone: (573) 339-2000
Fax: (573) 339-1876
Type: Location
2432, East Main Street, Medford, Jackson County, Oregon, 97504, United States
JACKSON, MO 637552487
Phone: (573) 755-2305
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: 2009-11-23
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 |
|---|---|---|---|---|
| I20091123000450 | 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 |
|---|---|---|---|---|
| 81003 | Automated urinalysis test | 49 | 49 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 43 | 43 | $0 |
| 71046 | X-ray of chest, 2 views | 18 | 18 | $0 |
Insurance plans in this area (ZIP 64180)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | MO | |
| General Surgery | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO |
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