TATIANA KISLUK (DNP) – Family Nurse Practitioner, NPI 1649673641
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
Provider Addresses for TATIANA KISLUK (DNP)
140 Nutt Rd
Phoenixville, PA 194603906
Phone: (610) 983-1481
Fax: (610) 422-5200
Type: Location
1201 Pleasant Valley Rd
Owensboro, KY 423039811
Phone: (270) 417-4700
Type: Location
910 Wallace Ave
Leitchfield, KY 427542414
Phone: (270) 259-9555
Fax: (270) 259-9555
Type: Location
PO BOX 417
FOUNTAINVILLE, PA 189230417
Phone: (215) 230-8380
Fax: (215) 230-8370
Type: Mailing
5039 SWAMP RD STE 401
FOUNTAINVILLE, PA 189239663
Phone: (215) 230-8380
Fax: (215) 230-8370
Type: Location
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: 2025-05-13
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
3
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 |
|---|---|---|---|---|
| I20141114000239 | I | Nurse Practitioner | ME | TBD |
| I20160120000862 | I | Nurse Practitioner | PA | TBD |
| I20250513003314 | I | Nurse Practitioner | KY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19460)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NY | |
| - | ME | |
| Family Practice | WY | |
| Internal Medicine, Hospitalist | NC | |
| Physician Assistant | MT | |
| - | ME | |
| Physician Assistant | KY | |
| Nurse Practitioner | ME | |
| Internal Medicine | NY | |
| Nurse Practitioner | NY |
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