MRS. TINA BROCK FALLEN ARNP
NPI 1174515423
Nurse Practitioner - Family in Brandon, FL

Q: What is Tina Fallen's NPI number?

The NPI number for Tina Fallen is 1174515423. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Q: What is Tina Fallen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tina Fallen was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 22, 2005PECOS Enrolled

515 S KINGS AVE STE 3100, BRANDON, FL 33511(813) 681-9171(813) 681-7580 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2023, Oct 27, 2022, Mar 12, 2020 (3 updates tracked since 2020).

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About Mrs. Tina Brock Fallen Arnp NPPES

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

MRS. TINA BROCK FALLEN ARNP (NPI 1174515423) is an individual family provider in Brandon, Florida, licensed in Florida (ARNP3394792) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174515423

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. TINA BROCK FALLENCredential: ARNP

Location Address515 S KINGS AVE STE 3100Brandon, FL 33511-6060

Mailing AddressPo Box 748817Atlanta, GA 30374-8817 · (813) 286-0033 · Fax (813) 286-0033

Phone(813) 681-9171

Fax(813) 681-7580

Sole ProprietorNo

Enumeration DateAugust 22, 2005

Last NPPES UpdateJanuary 26, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2024

✔ NPI 1174515423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · ARNP3394792

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License ARNP3394792 (FL)

515 S KINGS AVE STE 3100, Brandon, FL 33511

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tina Brock Fallen Arnp 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

15 services15 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Other Providers at the Same Location NPPES 14

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

JANNELLE MENDIOLA BAUTISTA MSN, APRN, FNP-C

Nurse Practitioner (Family)