TYLER RUSSELL ARCHER (MSN, NP-C) – Family Nurse Practitioner, NPI 1548770944
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for TYLER RUSSELL ARCHER (MSN, NP-C)
4021 Keith St NW
Cleveland, TN 37312
Phone: (423) 328-1006
Type: Location
102, Dunhill Place, North Cleveland, Cleveland, Bradley County, Tennessee, 37311, United States
CLEVELAND, TN 373113885
Phone: (423) 476-5774
Fax: (423) 472-0493
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 44 Open Payments records for all available years, with a total value of $909.
Total Amount is formed as General ($909) + Research ($0) + Ownership ($0) = $909.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Boston Scientific Corporation ($287).
Total Amount
$909
General + Research + Ownership
Payments
44
Total payment records
General Amount
$909
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-02-05
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 |
|---|---|---|---|---|
| I20180205001421 | 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 |
|---|---|---|---|---|
| J3300 | Injection, triamcinolone acetonide, preservative free, 1 mg | 1,484 | 26 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 593 | 124 | $0 |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan tha | 494 | 110 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 288 | 106 | $0 |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 94 | 61 | $0 |
Insurance plans in this area (ZIP 37312)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Physician Assistant | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Physician Assistant | SC | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | TN | |
| Pain Management, Anesthesiology | TN |
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