MRS. TANNA LYNN MCCULLOUGH FNP
NPI 1346449188
Nurse Practitioner - Family in Lawrenceville, IL

Q: What is Tanna Mccullough's NPI number?

The NPI number for Tanna Mccullough is 1346449188. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Q: What is Tanna Mccullough'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 Tanna Mccullough was last updated on April 11, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 12, 2007PECOS EnrolledAccepts Medicare Assignment

60.99/100

CMS Quality Rating

2111 LEXINGTON AVE, LAWRENCEVILLE, IL 62439(618) 943-7216(618) 943-7219 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Tanna Lynn Mccullough Fnp NPPES

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

MRS. TANNA LYNN MCCULLOUGH FNP (NPI 1346449188) is an individual family provider in Lawrenceville, Illinois, licensed in Illinois (209006703) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Lawrence County Memorial Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1346449188

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. TANNA LYNN MCCULLOUGHCredential: FNP

Location Address2111 LEXINGTON AVELawrenceville, IL 62439-2085

Mailing Address2200 State StLawrenceville, IL 62439-1852 · (618) 943-1000 · Fax (618) 943-7230

Phone(618) 943-7216

Fax(618) 943-7219

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 12, 2007

Last NPPES UpdateApril 11, 2012

✔ NPI 1346449188 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 IL · 209006703

2111 LEXINGTON AVE, Lawrenceville, IL 62439

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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 and accepts Medicare assignment

Mrs. Tanna Lynn Mccullough Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395836159

PECOS Enrollment IDI20070808000319

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lawrence County Memorial Hospital

Critical Access Hospitals · Lawrenceville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141344

Location2200 State StLawrenceville, IL 62439 · Lawrence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62439 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

60.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

62.42

Promoting Interoperability

Improvement Activities

Cost

17.59

Referred Medical Equipment & Supplies CMS DME claims 10

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers36 claims62 services$6.58 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$16.15 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers38 claims45 services$7.40 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers38 claims38 services$107.69 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

1 supplier14 claims840 services$4.45 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

3 suppliers11 claims1,060 services$0.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 13

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

REILEY ERYN MICHELS APRN

Nurse Practitioner (Family)