MRS. TAMARA KAY THORN (CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1053606152

MRS. TAMARA KAY THORN (CNP) is a healthcare provider. based in Miamisburg, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. COA,12381-NP (OH). The NPI Number for MRS. TAMARA KAY THORN (CNP) is 1053606152

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TAMARA KAY THORN (CNP)
NPI
1053606152
Phone
(937) 762-1310
Address
1 PRESTIGE PL STE 550
Enumeration Date
16 June 2011
Last Update Date
17 November 2020

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
9372396967
Graduation Year
2011 (15 years ago)
PAC ID
9032389366
Professional Enrollment ID
I20110824000514
Address ID
OH454142476DA8529XDRXX401
Telehealth
Yes

Contacts

Secure Messaging
tthorn15692@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MRS. TAMARA KAY THORN (CNP)

  • 1 PRESTIGE PL STE 550

    MIAMISBURG, OH 453426115

    Phone: (937) 762-1310

    Type: Mailing

  • 5348 LAMME RD

    MORAINE, OH 454393215

    Phone: (937) 534-4600

    Fax: (937) 522-8799

    Type: Location

  • 5350 Lamme Rd

    Moraine, OH 454393215

    Phone: (937) 534-4600

    Fax: (937) 522-8788

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 216 Open Payments records for all available years, with a total value of $30,958.

Total Amount is formed as General ($30,958) + Research ($0) + Ownership ($0) = $30,958.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($15,263).

Total Amount

$30,958

General + Research + Ownership

Payments

216

Total payment records

General Amount

$30,958

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-08-24

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110824000514INurse PractitionerOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8022$0
View full utilization report →

Insurance plans in this area (ZIP 45342)

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Reviews

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Frequently asked questions

What unique ID ties claims to MRS. TAMARA KAY THORN (CNP)?
NPI 1053606152 is assigned to MRS. TAMARA KAY THORN (CNP) under the national enumeration system.
Does this profile mean MRS. TAMARA KAY THORN (CNP) is currently active?
Yes — MRS. TAMARA KAY THORN (CNP) appears active in the national provider directory.
What field does MRS. TAMARA KAY THORN (CNP) work in?
You can think of MRS. TAMARA KAY THORN (CNP) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. TAMARA KAY THORN (CNP)?
The snapshot lists Miamisburg, Ohio for MRS. TAMARA KAY THORN (CNP); download NPPES for the complete set.
What if Miamisburg, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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