TAMMY L. PELEGRIN NP
NPI 1073893624
Nurse Practitioner - Family in Oxford, MS

Active since August 26, 2011PECOS Enrolled
93.1/100
CMS Quality Rating
504 AZALEA DR, STE A, OXFORD, MS 38655(662) 236-7738(662) 236-9642 Get Directions Write a Review

NPPES record last updated: July 22, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tammy L. Pelegrin Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMMY L. PELEGRIN NP (NPI 1073893624) is an individual family provider in Oxford, Mississippi, licensed in Mississippi (R871187) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073893624
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAMMY L. PELEGRINCredential: NP
Location Address504 AZALEA DR, STE AOxford, MS 38655-5397
Mailing Address965 Ridge Lake Blvd 103Memphis, TN 38120-9446 · (901) 227-3255 · Fax (901) 227-8591
Fax(662) 236-9642
Sole ProprietorNo
Enumeration DateAugust 26, 2011
Last NPPES UpdateJuly 22, 2015
NPI 1073893624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · R871187
504 AZALEA DR, Oxford, MS 38655

Other Names 1

Other Name (5)Tammy L. Burkhalter

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tammy L. Pelegrin Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.08
Promoting Interoperability88
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims700 services$0.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
504 AZALEA DR, SUITE A
OXFORD, MS 38655
Internal Medicine (Hematology & Oncology)
504 AZALEA DR, SUITE A
OXFORD, MS 38655
Specialist
504 AZALEA DR, SUITE A
OXFORD, MS 38655
Clinical Medical Laboratory
504 AZALEA DR
OXFORD, MS 38655
Radiology (Radiation Oncology)
504 AZALEA DR, RADIATION ONCOLOGY DEPARTMENT
OXFORD, MS 38655
Radiology (Radiation Oncology)
504 AZALEA DR, RADIAITON ONCOLOGY DEPARTMENT
OXFORD, MS 38655
Clinic/Center
504 AZALEA DR
OXFORD, MS 38655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tammy Pelegrin's NPI number?

The NPI number for Tammy Pelegrin is 1073893624. It was assigned to this individual provider in the NPPES registry on August 26, 2011. The provider is also known as Tammy L. Burkhalter.

Where is Tammy Pelegrin located?

Tammy Pelegrin practices at 504 Azalea Dr Ste A, Oxford, MS 38655. The listed phone number is (662) 236-7738.

What is Tammy Pelegrin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tammy Pelegrin enrolled in Medicare?

Yes. Tammy Pelegrin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tammy Pelegrin was last updated on July 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.