DR. NANCY ELLEN TICE (D.O) – Psychiatry Physician, NPI 1073644282
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,022 PSYCHIATRY in NY
Provider Addresses for DR. NANCY ELLEN TICE (D.O)
1955 MERRICK RD
SUITE 106
MERRICK, NY 115664642
Phone: (516) 849-4985
Fax: (516) 867-0503
Mailing address matches the actual address.
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.
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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: 2011-07-29
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 |
|---|---|---|---|---|
| I20110729000017 | I | Psychiatry | NY | 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 | 797 | 168 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 752 | 166 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 409 | 71 | $0 |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 344 | 58 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 24 | 24 | $0 |
Insurance plans in this area (ZIP 11566)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | NY | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 23 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| Physician Assistant | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY | |
| Physician Assistant | CT | |
| Nurse Practitioner | NY | |
| Mental Health Counselor | NY | |
| Physician Assistant | NY | |
| Physician Assistant | NY | |
| Physician Assistant | NY |
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