TINEY ELIZABETH RAY (FNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1154331346
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
721 NURSE PRACTITIONER in VT
Provider Addresses for TINEY ELIZABETH RAY (FNP)
1 Lawson Ln Ste 200D
Burlington, VT 054018445
Phone: (888) 987-3991
Fax: (888) 502-6598
Type: Location
400 CONGRESS ST STE 300
PORTLAND, ME 041013553
Phone: (888) 987-3991
Fax: (888) 502-6598
Type: Location
19, Mercer Street, Terryville, Town of Brookhaven, Suffolk County, New York, 11776, United States
PORT JEFFERSON STATION, NY 117766106
Phone: (845) 216-9886
Fax: (631) 828-6869
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $79.
Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.
Last reported payment date: 2024-03-21 • Largest payer in this snapshot: Medtronic, Inc. ($63).
Total Amount
$79
General + Research + Ownership
Payments
2
Total payment records
General Amount
$79
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $63 |
| Neurocrine BioSciences Inc. | $16 |
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: 2020-07-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20161109001609 | I | Nurse Practitioner | GA | TBD |
| I20170306002079 | I | Nurse Practitioner | VT | TBD |
| I20180423002496 | I | Nurse Practitioner | ME | TBD |
| I20200709001476 | I | Nurse Practitioner | MN | 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 05401)
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