TIA ELAINE SEXTON – Family Nurse Practitioner, NPI 1376990937
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,307 NURSE PRACTITIONER in VA
Provider Addresses for TIA ELAINE SEXTON
12301 GRAPEFIELD RD
BASTIAN, VA 243144547
Phone: (276) 688-4331
Fax: (276) 688-4336
Type: Mailing
115 GREENHAVEN DR
GALAX, VA 243332003
Phone: (276) 233-0069
Type: Mailing
8494 S Scenic Hwy
Bland, VA 243155255
Phone: (276) 688-0500
Type: Location
Twin County Regional Hospital, 200, Hospital Drive, Galax, Galax City, Virginia, 24333, United States
GALAX, VA 243332227
Phone: (276) 236-8181
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $188.
Total Amount is formed as General ($188) + Research ($0) + Ownership ($0) = $188.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Exact Sciences Corporation ($91).
Total Amount
$188
General + Research + Ownership
Payments
10
Total payment records
General Amount
$188
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $91 |
| Novo Nordisk Inc | $48 |
| ABBVIE INC. | $34 |
| Merck Sharp & Dohme LLC | $14 |
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: 2016-10-10
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 |
|---|---|---|---|---|
| I20161010000926 | I | Nurse Practitioner | VA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 49 | 42 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 34 | 33 | $0 |
| 81002 | Urinalysis, manual test | 22 | 20 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 14 | 14 | $0 |
| 71046 | X-ray of chest, 2 views | 12 | 12 | $0 |
Insurance plans in this area (ZIP 24314)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | WV | |
| Family Practice | VA | |
| Family Practice | VA | |
| Nurse Practitioner | VA |
Reviews
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