TAMMY L. PELEGRIN NP
NPI 1073893624
Nurse Practitioner - Family in Oxford, MS
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tammy L. Pelegrin Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Tammy Pelegrin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oxford, MS 38655
- Reassigned Medicare billing, Mississippi enrollment
- Medicare enrollment name: North Mississippi Medical Center, Inc.
- 581 clinicians in this Medicare group
Eupora, MS 39744
- Reassigned Medicare billing, Mississippi enrollment
- 101 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
OXFORD, MS 38655
OXFORD, MS 38655
OXFORD, MS 38655
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.
Which organizations bill Medicare for Tammy Pelegrin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tammy Pelegrin reassigns Medicare benefits to 2 organizations: North Mississippi Medcial Center, Inc. (Oxford, MS) and Clay County Medical Corporation (Eupora, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tammy Pelegrin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Tammy L. Pelegrin, NP · NPI 1073893624
Family physician in Oxford, Mississippi. Individual provider, active in the CMS NPPES registry since August 26, 2011.
## Identity
- **NPI:** 1073893624 (Entity type: Individual)
- **Enumerated:** August 26, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R871187 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 504 AZALEA DR, STE A, Oxford, MS 38655-5397
- **Phone:** (662) 236-7738 · **Fax:** (662) 236-9642
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Mississippi Medcial Center, Inc. (NPI 1942025564, Oxford, MS); Clay County Medical Corporation (NPI 1639684152, Eupora, MS) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 22, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1073893624) · Data from the CMS NPPES public registry.