TINA RENEE KAUDERER CNP
NPI 1366763468
Nurse Practitioner - Family in Castle Rock, CO
About Tina Renee Kauderer Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA RENEE KAUDERER CNP (NPI 1366763468) is an individual family provider in Castle Rock, Colorado, licensed in Ohio (NP-11175) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Thibodaux Regional Medical Center, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tina Renee Kauderer Cnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tina Kauderer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Castle Rock, CO 80104
- Reassigned Medicare billing, Colorado enrollment
- 27 clinicians in this Medicare group
Thibodaux, LA 70301
- Reassigned Medicare billing, Louisiana enrollment
- 9 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thibodaux Regional Medical Center
Acute Care Hospitals · Thibodaux, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CASTLE ROCK, CO 80104
CASTLE ROCK, CO 80104
CASTLE ROCK, CO 80104
CASTLE ROCK, CO 80104
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 Tina Kauderer's NPI number?
The NPI number for Tina Kauderer is 1366763468. It was assigned to this individual provider in the NPPES registry on June 13, 2010.
Where is Tina Kauderer located?
Tina Kauderer practices at 1001 S Perry St Ste 104B, Castle Rock, CO 80104. The listed phone number is (720) 485-3178.
What is Tina Kauderer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tina Kauderer enrolled in Medicare?
Yes. Tina Kauderer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Tina Kauderer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tina Kauderer reassigns Medicare benefits to 2 organizations: Heartlight Family Clinic, LLC (Castle Rock, CO) and Raja Talluri MD A Professional Medical Corporation (Thibodaux, LA). 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 Tina Kauderer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tina Kauderer accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Tina Kauderer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Tina Kauderer affiliated with any hospitals?
According to CMS data, Tina Kauderer is affiliated with Thibodaux Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Tina Kauderer was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Tina Renee Kauderer, CNP · NPI 1366763468
Family physician in Castle Rock, Colorado. Individual provider, active in the CMS NPPES registry since June 13, 2010.
## Identity
- **NPI:** 1366763468 (Entity type: Individual)
- **Enumerated:** June 13, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP-11175 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1001 S PERRY ST STE 104B, Castle Rock, CO 80104-1950
- **Phone:** (720) 485-3178
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Heartlight Family Clinic, LLC (NPI 1639529738, Castle Rock, CO); Raja Talluri MD A Professional Medical Corporation (NPI 1083727838, Thibodaux, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** February 23, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1366763468) · Data from the CMS NPPES public registry.