TINA L MCCULLOUGH (NP-C) – Family Nurse Practitioner, NPI 1558636332

TINA L MCCULLOUGH (NP-C) is a healthcare provider. based in Malta, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. COA.12918-NP (OH). The NPI Number for TINA L MCCULLOUGH (NP-C) is 1558636332

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
TINA L MCCULLOUGH (NP-C)
NPI
1558636332
Phone
(740) 962-6111
Address
859 N MAIN ST
Enumeration Date
13 March 2012
Last Update Date
9 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7404219530
Graduation Year
2011 (15 years ago)
PAC ID
7618138777
Group Practice PAC ID
4789760216
Professional Enrollment ID
I20120417000303
Address ID
OH437259614CA1330XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for TINA L MCCULLOUGH (NP-C)

  • 859 N MAIN ST

    MALTA, OH 437589007

    Phone: (740) 962-6111

    Fax: (740) 962-2182

    Type: Mailing

  • 1330 CLARK ST

    CAMBRIDGE, OH 437259614

    Phone: (740) 421-9530

    Fax: (740) 421-9531

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 120 Open Payments records for all available years, with a total value of $1,584.

Total Amount is formed as General ($1,584) + Research ($0) + Ownership ($0) = $1,584.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: PFIZER INC. ($454).

Total Amount

$1,584

General + Research + Ownership

Payments

120

Total payment records

General Amount

$1,584

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2012-04-17

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
I20120417000303INurse 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
83036Hemoglobin a1c level16668$0
82962Blood glucose (sugar) test performed by hand-held instrument15765$0
81003Automated urinalysis test2018$0
View full utilization report →

Insurance plans in this area (ZIP 43758)

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Provider's Procedures

TINA L MCCULLOUGH (NP-C) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONEROH85610Blood test, clotting time14113

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789760216View full group profile
NameSpecialtyState
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH
-OH
Family PracticeOH
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What is the standard ID for TINA L MCCULLOUGH (NP-C) in the U.S.?
In the U.S., TINA L MCCULLOUGH (NP-C) is identified by NPI 1558636332.
Is TINA L MCCULLOUGH (NP-C) currently accepting referrals based on NPI status?
Registry metadata lists TINA L MCCULLOUGH (NP-C) as active.
What services align with TINA L MCCULLOUGH (NP-C)'s listing?
TINA L MCCULLOUGH (NP-C)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit TINA L MCCULLOUGH (NP-C) in Malta, Ohio?
For routing, start with Malta, Ohio for TINA L MCCULLOUGH (NP-C), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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