SONJA FAYE TILLER (FNP-C) – Family Nurse Practitioner, NPI 1427449529

SONJA FAYE TILLER (FNP-C) is a healthcare provider. based in Troup, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. AP127124 (TX). The NPI Number for SONJA FAYE TILLER (FNP-C) is 1427449529

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
SONJA FAYE TILLER (FNP-C)
NPI
1427449529
Phone
(903) 570-8612
Address
21835 COUNTY ROAD 2160
Enumeration Date
10 February 2015
Last Update Date
20 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035931721
Graduation Year
2014 (12 years ago)
PAC ID
5193043487
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20150416002370
Address ID
TX757028307TY520XXBLVD300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for SONJA FAYE TILLER (FNP-C)

  • 21835 COUNTY ROAD 2160

    TROUP, TX 757896003

    Phone: (903) 570-8612

    Type: Mailing

  • 520 Douglas Blvd

    Tyler, TX 757028307

    Phone: (903) 593-1721

    Type: Location

  • 8288 S BROADWAY AVE

    TYLER, TX 757035262

    Phone: (903) 606-7060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $550.

Total Amount is formed as General ($550) + Research ($0) + Ownership ($0) = $550.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Amgen Inc. ($127).

Total Amount

$550

General + Research + Ownership

Payments

6

Total payment records

General Amount

$550

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2015-04-16

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
I20150416002370INurse PractitionerTXTBD

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 minutes8466$0
99215Established patient office or other outpatient visit, 40-54 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 75789)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

What unique ID ties claims to SONJA FAYE TILLER (FNP-C)?
NPI 1427449529 is assigned to SONJA FAYE TILLER (FNP-C) under the national enumeration system.
Is SONJA FAYE TILLER (FNP-C) currently active in the NPI registry?
CMS-published data lists SONJA FAYE TILLER (FNP-C) as an active registrant.
Does SONJA FAYE TILLER (FNP-C) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for SONJA FAYE TILLER (FNP-C). Clinical services aligned with this taxonomy classification.
Does SONJA FAYE TILLER (FNP-C) practice in Texas?
You will see Troup, Texas on file for SONJA FAYE TILLER (FNP-C) alongside any extra practice locations.
Is SONJA FAYE TILLER (FNP-C) a real provider?
This page reflects official NPPES data for NPI 1427449529. Always confirm identity and privileges with the practice and licensing boards.

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