TINA R ELLISON (PA-C) – Physician Assistant, NPI 1033196571
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
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Provider Addresses for TINA R ELLISON (PA-C)
Saint John Medical Center, 29000, Center Ridge Road, Westlake, Cuyahoga County, Ohio, 44145, United States
WESTLAKE, OH 44145
Phone: (440) 835-8000
Fax: (440) 879-0084
Type: Mailing
2626 Care Dr Ste 105
Tallahassee, FL 323084489
Phone: (850) 402-3104
Fax: (850) 402-9979
Type: Location
61 MEMORIAL MEDICAL PKWY STE 1-800A
PALM COAST, FL 321645983
Phone: (386) 302-1365
Type: Location
PO BOX 946383
ATLANTA, GA 303946383
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $111.
Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.
Last reported payment date: 2024-06-27 • Largest payer in this snapshot: Axonics, Inc. ($62).
Total Amount
$111
General + Research + Ownership
Payments
3
Total payment records
General Amount
$111
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $62 |
| Boston Scientific Corporation | $34 |
| Sumitomo Pharma America, Inc. | $16 |
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: 2024-01-05
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 |
|---|---|---|---|---|
| I20240105000087 | I | Physician Assistant | FL | 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 |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 15 | 15 | $0 |
Insurance plans in this area (ZIP 44145)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| U R O L O G Y | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Thoracic Surgery | FL | |
| Nurse Practitioner | GA | |
| Internal Medicine | NY | |
| General Surgery | FL | |
| Pulmonary Disease, Critical Care (Intensivists), Sleep Medicine | FL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
Reviews
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