TIFFANY GAYLA CLENDENING (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1942770714
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for TIFFANY GAYLA CLENDENING (PMHNP)
PO BOX 2709
LONGVIEW, TX 756062709
Phone: (903) 212-7800
Fax: (903) 212-7899
Type: Mailing
1115 US Highway 259 S
Henderson, TX 75654
Phone: (903) 392-8203
Fax: (866) 835-6516
Type: Location
410 N 4TH ST
LONGVIEW, TX 756016511
Phone: (903) 234-8808
Fax: (903) 212-7899
Type: Location
PO BOX 489
MT ENTERPRISE, TX 756810489
Phone: (903) 392-8203
Fax: (866) 835-6516
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $96.
Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Lundbeck LLC ($32).
Total Amount
$96
General + Research + Ownership
Payments
5
Total payment records
General Amount
$96
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $32 |
| Takeda Pharmaceuticals U.S.A., Inc. | $20 |
| ABBVIE INC. | $18 |
| Otsuka America Pharmaceutical, Inc. | $17 |
| Corium, LLC | $9 |
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: 2022-07-08
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 |
|---|---|---|---|---|
| I20220708002069 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Mental Health Counselor | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Mental Health Counselor | TX | |
| Mental Health Counselor | TX |
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