MS. PAULINE TYAS (APN) – Adult Health Nurse Practitioner, NPI 1972877371
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. PAULINE TYAS (APN)
4065 QUAKERBRIDGE RD
PRINCETON JCT, NJ 08550
Phone: (609) 651-4001
Type: Location
1 WATERWORKS RD
FREEHOLD, NJ 077284231
Phone: (732) 866-3665
Type: Mailing
1 Waterworks Rd
Freehold, NJ 077284231
Phone: (732) 866-3665
Type: Location
1901 N Olden Avenue Ext Ste 29
Ewing, NJ 086182111
Phone: (609) 237-7100
Fax: (609) 616-7904
Type: Location
17 Andover Ct
Bordentown, NJ 085053163
Phone: (732) 763-8360
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $146.
Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.
Last reported payment date: 2024-05-24 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($94).
Total Amount
$146
General + Research + Ownership
Payments
9
Total payment records
General Amount
$146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $94 |
| Axsome Therapeutics, Inc. | $34 |
| Alkermes, Inc. | $18 |
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: 2016-04-19
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 |
|---|---|---|---|---|
| I20160419001699 | I | Nurse Practitioner | NJ | 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 08550)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| Family Practice | VA | |
| Internal Medicine | FL | |
| Nurse Practitioner | NJ | |
| P S Y C H I A T R Y | PA | |
| Physician Assistant | NJ | |
| - | NY | |
| - | NJ | |
| P S Y C H I A T R Y | NJ | |
| P S Y C H I A T R Y | NJ |
Reviews
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