HAILEE A TILLERY – Nurse Practitioner, NPI 1730898446

HAILEE A TILLERY is a healthcare provider. based in Medina, Tennessee. specializing in NURSE PRACTITIONER. They hold a License No. 32576 (TN). The NPI Number for HAILEE A TILLERY is 1730898446

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
HAILEE A TILLERY
NPI
1730898446
Phone
(731) 499-3384
Address
122 Stonecreek Ln
Enumeration Date
21 November 2022
Last Update Date
28 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7314216510
Graduation Year
2022 (4 years ago)
PAC ID
8325411135
Group Practice PAC ID
3971781006
Professional Enrollment ID
I20230227000457
Address ID
TN383013937JA700XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

10,728 NURSE PRACTITIONER in TN

Provider Addresses for HAILEE A TILLERY

  • 122 Stonecreek Ln

    Medina, TN 383558914

    Phone: (731) 499-3384

    Type: Location

  • 122 STONECREEK LN

    MEDINA, TN 383558914

    Phone: (731) 499-3384

    Type: Mailing

  • 15001 S 1ST ST

    MILAN, TN 383585132

    Phone: (731) 613-2535

    Fax: (731) 613-2534

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 122 Open Payments records for all available years, with a total value of $2,175.

Total Amount is formed as General ($2,175) + Research ($0) + Ownership ($0) = $2,175.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($234).

Total Amount

$2,175

General + Research + Ownership

Payments

122

Total payment records

General Amount

$2,175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2023-02-27

PECOS data refreshed: 2026-06-15

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
I20230227000457INurse PractitionerTNTBD

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 minutes10081$0
99213Established patient office or other outpatient visit, 20-29 minutes5954$0
G0008Administration of influenza virus vaccine2828$0
81003Automated urinalysis test2625$0
90662Influenza vaccine split virus, preservative free2525$0
View full utilization report →

Insurance plans in this area (ZIP 38355)

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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: 3971781006View full group profile
NameSpecialtyState
General Surgery, Vascular SurgeryMD
G A S T R O E N T E R O L O G YAL
O B S T E T R I C S/ G Y N E C O L O G YTN
Family PracticeTN
Nurse PractitionerTN
Cardiovascular Disease (Cardiology)DC
Internal Medicine, GastroenterologyTN
-TN
Nurse PractitionerTN
Critical Care (Intensivists), Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)AL

Reviews

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Frequently asked questions

How do payers reference HAILEE A TILLERY?
For HAILEE A TILLERY, use NPI 1730898446 as the unique 10-digit identifier.
Is HAILEE A TILLERY shown as active in public data?
Registry records indicate HAILEE A TILLERY maintains an active NPI.
What kind of doctor is HAILEE A TILLERY?
HAILEE A TILLERY is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with HAILEE A TILLERY?
Directory geography for HAILEE A TILLERY centers on Medina, Tennessee.
Can I trust this NPI listing for HAILEE A TILLERY?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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