TAMMI M SHORT (FNP-C) – Nurse Practitioner, NPI 1538137153
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for TAMMI M SHORT (FNP-C)
3535 N FOURTH ST STE 400
LONGVIEW, TX 756050038
Phone: (903) 757-3881
Fax: (903) 757-5948
Type: Location
Southwest 6th Street, South Lea, Longview, Lee's Summit, Jackson County, Missouri, 64081, United States
LONGVIEW, TX 756015537
Phone: (903) 236-3266
Fax: (903) 236-3902
Type: Location
Wallis Dermatology Associates, 6, Doctor Circle, Longview, Gregg County, Texas, 75605, United States
LONGVIEW, TX 756055500
Phone: (903) 236-3266
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 225 Open Payments records for all available years, with a total value of $4,576.
Total Amount is formed as General ($4,576) + Research ($0) + Ownership ($0) = $4,576.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($900).
Total Amount
$4,576
General + Research + Ownership
Payments
225
Total payment records
General Amount
$4,576
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $900 |
| GENZYME CORPORATION | $588 |
| Regeneron Healthcare Solutions, Inc. | $447 |
| Janssen Biotech, Inc. | $262 |
| Sun Pharmaceutical Industries Inc. | $194 |
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: 2004-08-09
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 |
|---|---|---|---|---|
| I20040809000211 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,473 | 300 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,029 | 745 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 550 | 438 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 368 | 331 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 250 | 231 | $0 |
Insurance plans in this area (ZIP 75605)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX |
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