TAMMIE PAYNE (CRNP) – Family Nurse Practitioner, NPI 1174084339

TAMMIE PAYNE (CRNP) is a healthcare provider. based in Everett, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP020186 (PA). The NPI Number for TAMMIE PAYNE (CRNP) is 1174084339

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
TAMMIE PAYNE (CRNP)
NPI
1174084339
Phone
(814) 623-6161
Address
10455 Lincoln Hwy
Enumeration Date
28 March 2019
Last Update Date
28 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8146525133
Graduation Year
2007 (19 years ago)
PAC ID
2860735131
Group Practice PAC ID
2062318975
Professional Enrollment ID
I20190530001121
Address ID
PA155371011EV300XXSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for TAMMIE PAYNE (CRNP)

  • 10455 Lincoln Hwy

    Everett, PA 155377046

    Phone: (814) 623-6161

    Type: Location

  • 300, North Spring Street, Everett, Bedford County, Pennsylvania, 15537, United States

    EVERETT, PA 155371011

    Phone: (814) 652-5133

    Type: Location

  • South Breezewood Road, Breezewood, East Providence Township, Bedford County, Pennsylvania, 15533, United States

    BREEZEWOOD, PA 155338913

    Phone: (814) 977-0480

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $11,249.

Total Amount is formed as General ($11,249) + Research ($0) + Ownership ($0) = $11,249.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($5,526).

Total Amount

$11,249

General + Research + Ownership

Payments

70

Total payment records

General Amount

$11,249

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2019-05-30

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
I20190530001121INurse PractitionerPATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes16871$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report4626$0
G0008Administration of influenza virus vaccine1414$0
99213Established patient office or other outpatient visit, 20-29 minutes1312$0
90682Influenza vaccine, quadrivalent derived from recombinant dna1212$0
View full utilization report →

Insurance plans in this area (ZIP 15537)

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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: 2062318975View full group profile
NameSpecialtyState
Family PracticePA
-PA
P S Y C H I A T R YPA
-PA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseasePA
Internal MedicinePA
-PA
-PA
Internal MedicinePA
Internal MedicinePA

Reviews

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Frequently asked questions

What is the standard ID for TAMMIE PAYNE (CRNP) in the U.S.?
In the U.S., TAMMIE PAYNE (CRNP) is identified by NPI 1174084339.
Is TAMMIE PAYNE (CRNP)'s NPI status active today?
Active status means TAMMIE PAYNE (CRNP)'s NPI record is not deactivated in the public file.
What does the directory say TAMMIE PAYNE (CRNP) does?
Insurance directories may phrase it differently, but here TAMMIE PAYNE (CRNP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TAMMIE PAYNE (CRNP)?
TAMMIE PAYNE (CRNP) is associated with Everett, Pennsylvania in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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