TOMMIE VIDALES (FNP) – Family Nurse Practitioner, NPI 1598964173

TOMMIE VIDALES (FNP) is a healthcare provider. based in Levelland, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 642208 (TX). The NPI Number for TOMMIE VIDALES (FNP) is 1598964173

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
TOMMIE VIDALES (FNP)
NPI
1598964173
Phone
(806) 894-2465
Address
103 JOHN DUPREE DR
Enumeration Date
13 July 2007
Last Update Date
13 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067255844
Graduation Year
2004 (22 years ago)
PAC ID
4284875733
Group Practice PAC ID
6901889393
Professional Enrollment ID
I20170712000367
Address ID
TX794101105LU2215XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for TOMMIE VIDALES (FNP)

  • 103 JOHN DUPREE DR

    LEVELLAND, TX 793366326

    Phone: (806) 894-2465

    Fax: (806) 894-8897

    Type: Location

  • 1804, College Avenue, Levelland, Hockley County, Texas, 79336, United States

    LEVELLAND, TX 793366507

    Phone: (806) 894-3141

    Fax: (806) 894-7094

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $637.

Total Amount is formed as General ($637) + Research ($0) + Ownership ($0) = $637.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Lilly USA, LLC ($283).

Total Amount

$637

General + Research + Ownership

Payments

41

Total payment records

General Amount

$637

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2017-07-12

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
I20170712000367INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79336)

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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: 6901889393View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to TOMMIE VIDALES (FNP)?
NPI 1598964173 is assigned to TOMMIE VIDALES (FNP) under the national enumeration system.
Does this profile mean TOMMIE VIDALES (FNP) is currently active?
Yes — TOMMIE VIDALES (FNP) appears active in the national provider directory.
Does TOMMIE VIDALES (FNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for TOMMIE VIDALES (FNP). Clinical services aligned with this taxonomy classification.
Where is TOMMIE VIDALES (FNP)'s primary listing?
We display Levelland, Texas because that is what the record indicates for TOMMIE VIDALES (FNP).
What if Levelland, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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