MRS. TESSA NICOLE MAULDIN (MS, APRN, AGNP-C) – Adult Health Nurse Practitioner, NPI 1851814172

MRS. TESSA NICOLE MAULDIN (MS, APRN, AGNP-C) is a healthcare provider. based in Tyler, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials MS, APRN, AGNP-C. They hold a License No. AP134542 (TX). The NPI Number for MRS. TESSA NICOLE MAULDIN (MS, APRN, AGNP-C) is 1851814172

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TESSA NICOLE MAULDIN (MS, APRN, AGNP-C)
NPI
1851814172
Phone
(903) 606-1664
Address
120 E Charnwood St Ste B
Enumeration Date
18 July 2017
Last Update Date
13 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9038392585
Graduation Year
2017 (9 years ago)
PAC ID
6204109267
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20170913002611
Address ID
TX757071400TY3593XBLVD401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MRS. TESSA NICOLE MAULDIN (MS, APRN, AGNP-C)

  • 120 E Charnwood St Ste B

    Tyler, TX 757011708

    Phone: (903) 606-1664

    Type: Location

  • 3203 S Main St

    Lindale, TX 757717727

    Phone: (903) 266-4000

    Type: Location

  • 205, Tully Trail, Whitehouse, Smith County, Texas, 75791, United States

    WHITEHOUSE, TX 757913131

    Phone:

    Type: Mailing

  • Kinsey Drive, Tyler, Smith County, Texas, 75703, United States

    TYLER, TX 757033046

    Phone: (903) 561-8300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $3,151.

Total Amount is formed as General ($3,151) + Research ($0) + Ownership ($0) = $3,151.

Last reported payment date: 2024-08-30 • Largest payer in this snapshot: ZOLL Respicardia, Inc. ($2,479).

Total Amount

$3,151

General + Research + Ownership

Payments

38

Total payment records

General Amount

$3,151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-30

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: 2017-09-13

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
I20170913002611INurse 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 minutes313257$0
99213Established patient office or other outpatient visit, 20-29 minutes169159$0
View full utilization report →

Insurance plans in this area (ZIP 75701)

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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

Is MRS. TESSA NICOLE MAULDIN (MS, APRN, AGNP-C) listed with a National Provider Identifier?
Yes — MRS. TESSA NICOLE MAULDIN (MS, APRN, AGNP-C) has NPI 1851814172 on file in the registry.
Active or inactive — what applies to MRS. TESSA NICOLE MAULDIN (MS, APRN, AGNP-C)?
You should see MRS. TESSA NICOLE MAULDIN (MS, APRN, AGNP-C) as active in CMS-hosted NPPES data.
What expertise is attributed to MRS. TESSA NICOLE MAULDIN (MS, APRN, AGNP-C)?
MRS. TESSA NICOLE MAULDIN (MS, APRN, AGNP-C)'s specialty line reads Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. TESSA NICOLE MAULDIN (MS, APRN, AGNP-C) associated with Tyler?
Public fields place MRS. TESSA NICOLE MAULDIN (MS, APRN, AGNP-C) around Tyler, Texas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MRS. TESSA NICOLE MAULDIN (MS, APRN, AGNP-C) is noted as July 18, 2017 where the registry provides it.

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