MAKAYLA ANN TETLEY (APRN, FNP-C) – Family Nurse Practitioner, NPI 1225907272

MAKAYLA ANN TETLEY (APRN, FNP-C) is a healthcare provider. based in North platte, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. 116411 (NE). The NPI Number for MAKAYLA ANN TETLEY (APRN, FNP-C) is 1225907272

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MAKAYLA ANN TETLEY (APRN, FNP-C)
NPI
1225907272
Phone
(308) 534-2532
Address
220 S AMES AVE
Enumeration Date
29 October 2025
Last Update Date
29 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3085342532
Graduation Year
2025 (1 year ago)
PAC ID
9133605454
Group Practice PAC ID
9830115500
Professional Enrollment ID
I20260107001603
Address ID
NE691010614NO611XXSTXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,121 NURSE PRACTITIONER in NE

Provider Addresses for MAKAYLA ANN TETLEY (APRN, FNP-C)

  • 220 S AMES AVE

    NORTH PLATTE, NE 691014864

    Phone: (308) 534-2532

    Type: Mailing

  • 611 W FRANCIS ST STE 100

    NORTH PLATTE, NE 691010614

    Phone: (308) 534-2532

    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: 2026-01-07

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260107001603INurse PractitionerNETBD

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.

Verify on CMS Revalidation Lookup Tool

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 69101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830115500View full group profile
NameSpecialtyState
Family PracticeNE
Family Practice, Obstetrics/GynecologyNE
Family PracticeNE
Nurse PractitionerNE
Nurse PractitionerNE
Nurse PractitionerNE
Family PracticeWY
Internal MedicineNE
Family PracticeNE
Family PracticeNE

Reviews

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Frequently asked questions

How do I look up MAKAYLA ANN TETLEY (APRN, FNP-C) by NPI?
Use NPI 1225907272 when you need to reference MAKAYLA ANN TETLEY (APRN, FNP-C) in forms, claims, or directories.
Does this profile mean MAKAYLA ANN TETLEY (APRN, FNP-C) is currently active?
Yes — MAKAYLA ANN TETLEY (APRN, FNP-C) appears active in the national provider directory.
What kind of provider is MAKAYLA ANN TETLEY (APRN, FNP-C)?
The page reflects Family Nurse Practitioner for MAKAYLA ANN TETLEY (APRN, FNP-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for MAKAYLA ANN TETLEY (APRN, FNP-C)?
The page summarizes North Platte, Nebraska for MAKAYLA ANN TETLEY (APRN, FNP-C); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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