MS. TAMMY DUBOSE PMHNP
NPI 1437494630
Nurse Practitioner - Psychiatric/Mental Health in Waukegan, IL

Active since November 29, 2012PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
3004 GRAND AVE, WAUKEGAN, IL 60085(401) 602-3938 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2024, Oct 13, 2022 (2 updates tracked since 2022).

About Ms. Tammy Dubose Pmhnp NPPES

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

MS. TAMMY DUBOSE PMHNP (NPI 1437494630) is an individual psychiatric/mental health provider in Waukegan, Illinois, licensed in Illinois (209028247) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1437494630
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. TAMMY DUBOSECredential: PMHNP
Location Address3004 GRAND AVEWaukegan, IL 60085-2321
Mailing Address3010 Grand AveWaukegan, IL 60085-2321 · (847) 377-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 29, 2012
Last NPPES UpdateMarch 5, 20242 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
NPI 1437494630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IL · 209028247
3004 GRAND AVE, Waukegan, IL 60085

Other Identifiers 2

Medicaid1437494630RI
Medicaid1437494630CT

Accepted Insurance

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

Ms. Tammy Dubose Pmhnp 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 ID8729455621
PECOS Enrollment IDI20221107001058, I20240329001431
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 60085 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Counselor (Addiction (Substance Use Disorder))
3004 GRAND AVE
WAUKEGAN, IL 60085
Counselor (Addiction (Substance Use Disorder))
3004 GRAND AVE
WAUKEGAN, IL 60085
Counselor (Addiction (Substance Use Disorder))
3004 GRAND AVE
WAUKEGAN, IL 60085
Social Worker
3004 GRAND AVE
WAUKEGAN, IL 60085
Licensed Practical Nurse
3004 GRAND AVE
WAUKEGAN, IL 60085
Counselor (Addiction (Substance Use Disorder))
3004 GRAND AVE
WAUKEGAN, IL 60085
Counselor (Addiction (Substance Use Disorder))
3004 GRAND AVE
WAUKEGAN, IL 60085
Counselor (Addiction (Substance Use Disorder))
3004 GRAND AVE
WAUKEGAN, IL 60085

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 Dubose's NPI number?

The NPI number for Tammy Dubose is 1437494630. It was assigned to this individual provider in the NPPES registry on November 29, 2012.

Where is Tammy Dubose located?

Tammy Dubose practices at 3004 Grand Ave, Waukegan, IL 60085. The listed phone number is (401) 602-3938.

What is Tammy Dubose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tammy Dubose enrolled in Medicare?

Yes. Tammy Dubose 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.

What insurance does Tammy Dubose accept?

Health plans from UnitedHealthcare list Tammy Dubose 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.

When was this NPI record last updated?

The NPPES record for Tammy Dubose was last updated on March 5, 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.