MR. GREGORY VANFOSSEN (N.P.) – Nurse Practitioner, NPI 1346310067
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for MR. GREGORY VANFOSSEN (N.P.)
3774 BLUE SPRINGS RD
CLEVELAND, TN 373118827
Phone: (786) 818-9004
Type: Mailing
4957 Swinyar Dr Ste 101
Ooltewah, TN 373632205
Phone: (423) 698-0850
Fax: (833) 450-6311
Type: Location
862 CALLEN LN NW
CLEVELAND, TN 373126995
Phone: (423) 331-5025
Fax: (833) 450-6211
Type: Location
Old County Road 17, Goshen, Elkhart County, Indiana, 46526, United States
GOSHEN, IN 465288421
Phone: (574) 875-0687
Type: Mailing
Industrial Parkway, Elkhart, Elkhart County, Indiana, 46516, United States
ELKHART, IN 465165414
Phone: (574) 522-7203
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $875.
Total Amount is formed as General ($875) + Research ($0) + Ownership ($0) = $875.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($299).
Total Amount
$875
General + Research + Ownership
Payments
53
Total payment records
General Amount
$875
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $299 |
| Collegium Pharmaceutical, Inc. | $117 |
| SCILEX PHARMACEUTICALS INC. | $77 |
| Antares Pharma, Inc. | $68 |
| PFIZER INC. | $57 |
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: 2017-03-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170307001734 | I | Nurse Practitioner | TN | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 37311)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | TN | |
| Physician Assistant | TN | |
| Anesthesiology, Pain Management, Anesthesiology | WA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Pain Management | TN | |
| - | TN | |
| A N E S T H E S I O L O G Y | TN | |
| Interventional Pain Management, Anesthesiology | TN | |
| Nurse Practitioner | TN |
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