MS. TINA MARIE TERSINE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1063717429

Certified Registered Nurse Anesthetist

MS. TINA MARIE TERSINE (CRNA) is a healthcare provider. based in Johnstown, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN568635 (PA). The NPI Number for MS. TINA MARIE TERSINE (CRNA) is 1063717429

Main info

Female

16 Years Of Experience

Accepts Medicare Assignment

Name

MS. TINA MARIE TERSINE (CRNA)

NPI

1063717429

Phone

(814) 534-9321

Address

1086 FRANKLIN ST

Enumeration Date

17 January 2011

Last Update Date

25 October 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6262564673

Graduation Year

2010 (16 years ago)

PAC ID

7810170933

Group Practice PAC ID

3779751656

Professional Enrollment ID

I20231227002148

Address ID

CA910103012DU1500XRDXX300

Contacts

SOAP Endpoint

https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience63

Completeness85

Years active:15State licenses:2Other namesUpdated within 12 months

4,245 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA

Provider Addresses for MS. TINA MARIE TERSINE (CRNA)

1086 FRANKLIN ST
JOHNSTOWN, PA 159054305
Phone: (814) 534-9321
Type: Mailing
1500 DUARTE RD
DUARTE, CA 910103012
Phone: (626) 256-4673
Type: Location
PO BOX 512185
LOS ANGELES, CA 900510185
Phone:
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-12-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

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
I20110328000771	I	Certified Registered Nurse Anesthetist (Crna)	PA	TBD
I20190729000015	I	Certified Registered Nurse Anesthetist (Crna)	LA	TBD
I20231227002148	I	Certified Registered Nurse Anesthetist (Crna)	CA	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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 15905)

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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: 3779751656View full group profile

Name	Specialty	State
DR. BHARAT NATHWANI (MD)	-	CA
JILL DIANE JEPSON (FNP-C)	Nurse Practitioner	CA
DR. LIYING CAI (M.D., PH.D.)	Cardiovascular Disease (Cardiology)	CA
DR. HOPE S. RUGO (MD)	Hematology/Oncology, Internal Medicine	CA
PETER POON-HANG LEE (MD)	-	CA
EUNICE KIM (APN)	Nurse Practitioner	CA
DIANE ELIZABETH ESTANISLAO (CRNA)	Certified Registered Nurse Anesthetist (Crna)	CA
PING H WANG (MD)	Endocrinology, Internal Medicine	CA
DR. AARON G LEWIS (MD)	General Surgery	CA
LINDA JOYCE BUCK (NP)	-	CA

Reviews

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Frequently asked questions

What unique ID ties claims to MS. TINA MARIE TERSINE (CRNA)?

NPI 1063717429 is assigned to MS. TINA MARIE TERSINE (CRNA) under the national enumeration system.

Is MS. TINA MARIE TERSINE (CRNA) currently active in the NPI registry?

CMS-published data lists MS. TINA MARIE TERSINE (CRNA) as an active registrant.

Can you summarize MS. TINA MARIE TERSINE (CRNA)'s specialty in plain language?

Clinically, the directory lists MS. TINA MARIE TERSINE (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

Where is MS. TINA MARIE TERSINE (CRNA)'s primary listing?

We display Johnstown, Pennsylvania because that is what the record indicates for MS. TINA MARIE TERSINE (CRNA).

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.