TISA D COLLINS-DOUGLAS (FNP-C) – Family Nurse Practitioner, NPI 1295222024
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TISA D COLLINS-DOUGLAS (FNP-C)
617 Inglewood Ct
DeSoto, TX 751156321
Phone: (682) 999-1315
Fax: (404) 585-2688
Type: Location
617, Inglewood Court, De Soto, DeSoto, Dallas County, Texas, 75115, United States
DESOTO, TX 751156321
Phone: (682) 999-1315
Type: Mailing
2949 MLK BLVD
DALLAS, TX 752156311
Phone: (972) 432-7783
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $794.
Total Amount is formed as General ($794) + Research ($0) + Ownership ($0) = $794.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Gilead Sciences, Inc. ($538).
Total Amount
$794
General + Research + Ownership
Payments
22
Total payment records
General Amount
$794
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $538 |
| ViiV Healthcare Company | $256 |
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: 2018-11-28
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 |
|---|---|---|---|---|
| I20181128003063 | 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 75115)
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