CARLY RAE TEPSICK (FNP-C) – Family Nurse Practitioner, NPI 1073268249
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for CARLY RAE TEPSICK (FNP-C)
627 Eastland Ave SE Ste 301
Warren, OH 444844501
Phone: (330) 392-3099
Fax: (330) 395-1721
Type: Location
1001 Belmont Ave
Youngstown, OH 445041003
Phone: (330) 747-6446
Fax: (330) 747-6843
Type: Location
47 STATE ST
STRUTHERS, OH 444711984
Phone: (330) 755-3311
Type: Location
7130 MILL CREEK BLVD
YOUNGSTOWN, OH 445124115
Phone: (330) 974-7000
Type: Mailing
715 E WESTERN RESERVE RD
POLAND, OH 445143358
Phone: (330) 726-3204
Fax: (330) 729-9316
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $306.
Total Amount is formed as General ($306) + Research ($0) + Ownership ($0) = $306.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($160).
Total Amount
$306
General + Research + Ownership
Payments
10
Total payment records
General Amount
$306
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $160 |
| ABBVIE INC. | $67 |
| SCPHARMACEUTICALS INC. | $63 |
| PFIZER 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: 2022-04-13
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 |
|---|---|---|---|---|
| I20220413001020 | I | Nurse Practitioner | OH | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 124 | 107 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 51 | 40 | $0 |
| 81003 | Automated urinalysis test | 15 | 15 | $0 |
Insurance plans in this area (ZIP 44484)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Family Practice | IA | |
| Nurse Practitioner | PA | |
| Radiation Oncology | PA | |
| H O S P I T A L I S T | OH | |
| N E U R O L O G Y | OH |
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