TANYA CLARK (APRN) – Registered Nurse, NPI 1285300491
Registered Nurse
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Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for TANYA CLARK (APRN)
8210 MACEDONIA COMMONS BLVD UNIT 68
MACEDONIA, OH 440561850
Phone:
Type: Mailing
1756 SAGAMORE RD
NORTHFIELD, OH 440671086
Phone: (330) 467-7131
Type: Location
2500 METROHEALTH DR
CLEVELAND, OH 441091900
Phone:
Type: Mailing
8210 Macedonia Commons Blvd Ste 3B-1022
Macedonia, OH 440561860
Phone: (216) 612-1051
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $661.
Total Amount is formed as General ($661) + Research ($0) + Ownership ($0) = $661.
Last reported payment date: 2024-05-01 • Largest payer in this snapshot: ABBVIE INC. ($249).
Total Amount
$661
General + Research + Ownership
Payments
6
Total payment records
General Amount
$661
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $249 |
| Neurocrine BioSciences, Inc. | $125 |
| ITI, Inc. | $115 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $87 |
| Corium, LLC | $84 |
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: 2022-01-06
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 |
|---|---|---|---|---|
| I20220106002214 | 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 |
|---|---|---|---|---|
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 23 | 11 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 16 | 15 | $0 |
Insurance plans in this area (ZIP 44056)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | OH | |
| Plastic And Reconstructive Surgery, Maxillofacial Surgery | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| Emergency Medicine | IN | |
| Nurse Practitioner | OH | |
| - | OH | |
| Cardiovascular Disease (Cardiology), Internal Medicine | OH | |
| - | OH | |
| - | VA |
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