TINA CAUDLE PRICE (MSN, AGNP-C) – Family Nurse Practitioner, NPI 1255617007
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
Provider Addresses for TINA CAUDLE PRICE (MSN, AGNP-C)
1111 W FRANK AVE
SUITE 303
LUFKIN, TX 759043303
Phone: (936) 630-9308
Fax: (936) 632-0081
Type: Mailing
8001 YOUREE DR STE 800
SHREVEPORT, LA 711152353
Phone: (318) 212-2729
Fax: (318) 212-2760
Type: Mailing
1541 KINGS HWY
SHREVEPORT, LA 711034228
Phone: (318) 626-0000
Type: Location
8001 Youree Dr Ste 800
Shreveport, LA 711152353
Phone: (318) 212-2729
Fax: (318) 212-2760
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $364.
Total Amount is formed as General ($364) + Research ($0) + Ownership ($0) = $364.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Dendreon Pharmaceuticals LLC ($127).
Total Amount
$364
General + Research + Ownership
Payments
4
Total payment records
General Amount
$364
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dendreon Pharmaceuticals LLC | $127 |
| Laborie Medical Technologies Corp. | $121 |
| PROCEPT BioRobotics Corporation | $77 |
| Medtronic, Inc. | $39 |
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: 2022-11-29
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 |
|---|---|---|---|---|
| I20221129002741 | I | Nurse Practitioner | LA | 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 |
|---|---|---|---|---|
| 55866 | Surgical removal of prostate and surrounding lymph nodes using an endoscope | 19 | 19 | $0 |
Insurance plans in this area (ZIP 75904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | LA | |
| Urology, Surgical Oncology | TX |
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