AMY MICHELLE TILLMAN (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1689121147
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,328 NURSE PRACTITIONER in OK
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Provider Addresses for AMY MICHELLE TILLMAN (NURSE PRACTITIONER)
920, North 8th Street, Hollis, Harmon County, Oklahoma, 73550, United States
PO BOX 431
HOLLIS, OK 735502026
Phone: (580) 688-2200
Fax: (580) 688-2229
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $82.
Total Amount is formed as General ($82) + Research ($0) + Ownership ($0) = $82.
Last reported payment date: 2024-07-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($68).
Total Amount
$82
General + Research + Ownership
Payments
5
Total payment records
General Amount
$82
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $68 |
| Xeris Pharmaceuticals, Inc. | $15 |
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: 2017-02-27
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20170227001925 | I | Nurse Practitioner | OK | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 157 | 32 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 121 | 78 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 119 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 100 | 71 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 94 | 45 | $0 |
Insurance plans in this area (ZIP 73550)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OK | |
| Family Practice | OK | |
| Nurse Practitioner | OK |
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