TAMIKA MIXON (APRN, FNP-C) – Family Nurse Practitioner, NPI 1720754898

TAMIKA MIXON (APRN, FNP-C) is a healthcare provider. based in Corpus christi, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. 1049614 (TX). The NPI Number for TAMIKA MIXON (APRN, FNP-C) is 1720754898

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
TAMIKA MIXON (APRN, FNP-C)
NPI
1720754898
Phone
(361) 737-0600
Address
14120 Northwest Blvd
Enumeration Date
19 August 2021
Last Update Date
29 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
2567853120
Group Practice PAC ID
9931422649
Professional Enrollment ID
I20211215002956
Address ID
TX784154106Co2882XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for TAMIKA MIXON (APRN, FNP-C)

  • 14120 Northwest Blvd

    Corpus Christi, TX 784105121

    Phone: (361) 737-0600

    Type: Location

  • 1415 Santa Fe St Fl 2

    Suite C

    Corpus Christi, TX 784042105

    Phone: (361) 737-0580

    Type: Location

  • 1627 WILDCAT DR

    PORTLAND, TX 783742815

    Phone: (601) 218-5745

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $443.

Total Amount is formed as General ($443) + Research ($0) + Ownership ($0) = $443.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: GENZYME CORPORATION ($86).

Total Amount

$443

General + Research + Ownership

Payments

18

Total payment records

General Amount

$443

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2021-12-15

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
I20211215002956INurse 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 78410)

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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: 9931422649View full group profile
NameSpecialtyState
Mental Health CounselorTX
Mental Health CounselorTX
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Mental Health CounselorTX
Nurse PractitionerGA
Nurse PractitionerTX
Internal MedicineTX
Family PracticeTX

Reviews

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Frequently asked questions

What is the registry number for TAMIKA MIXON (APRN, FNP-C)?
The registry entry for TAMIKA MIXON (APRN, FNP-C) shows NPI 1720754898.
Quick check: is TAMIKA MIXON (APRN, FNP-C) active?
Public NPPES data shows TAMIKA MIXON (APRN, FNP-C) with an active NPI status right now.
How should patients interpret TAMIKA MIXON (APRN, FNP-C)'s specialty?
The extract shows Family Nurse Practitioner for TAMIKA MIXON (APRN, FNP-C). Clinical services aligned with this taxonomy classification.
What geographic area is tied to TAMIKA MIXON (APRN, FNP-C)?
TAMIKA MIXON (APRN, FNP-C) is associated with Corpus Christi, Texas in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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