MS. TAMMY L RISTAU (CRNP) – Nurse Practitioner, NPI 1730144122

MS. TAMMY L RISTAU (CRNP) is a healthcare provider. based in Warren, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP008551 (PA). The NPI Number for MS. TAMMY L RISTAU (CRNP) is 1730144122

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MS. TAMMY L RISTAU (CRNP)
NPI
1730144122
Phone
(814) 723-3300
Address
2 W CRESCENT PARK
Enumeration Date
19 April 2006
Last Update Date
3 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8145841130
Graduation Year
2004 (22 years ago)
PAC ID
4688697428
Group Practice PAC ID
7113814625
Professional Enrollment ID
I20060109000264
Address ID
PA163472013SH511XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

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Provider Addresses for MS. TAMMY L RISTAU (CRNP)

  • 2, Crescent Park, Warren, Warren County, Pennsylvania, 16365, United States

    WARREN, PA 163652111

    Phone: (814) 723-3300

    Type: Mailing

  • 511 SOUTH MAIN STREET

    SHEFFIELD, PA 16347

    Phone: (814) 584-1130

    Fax: (814) 584-1133

    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: 2006-01-09

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
I20060109000264INurse 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 minutes294123$0
99213Established patient office or other outpatient visit, 20-29 minutes3733$0
View full utilization report →

Insurance plans in this area (ZIP 16365)

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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: 7113814625View full group profile
NameSpecialtyState
Internal Medicine, GastroenterologyPA
-NV
Certified Registered Nurse Anesthetist (Crna)PA
General SurgeryPA
Physician AssistantPA
-PA
Internal MedicinePA
-PA
P O D I A T R YKY
Nurse PractitionerPA

Reviews

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Frequently asked questions

How do payers reference MS. TAMMY L RISTAU (CRNP)?
For MS. TAMMY L RISTAU (CRNP), use NPI 1730144122 as the unique 10-digit identifier.
Active or inactive — what applies to MS. TAMMY L RISTAU (CRNP)?
You should see MS. TAMMY L RISTAU (CRNP) as active in CMS-hosted NPPES data.
What expertise is attributed to MS. TAMMY L RISTAU (CRNP)?
MS. TAMMY L RISTAU (CRNP)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. TAMMY L RISTAU (CRNP)?
Travel planning: use Warren, Pennsylvania as the reference point for MS. TAMMY L RISTAU (CRNP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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