TINA RENEE DUNCAN NP
NPI 1548626229
Nurse Practitioner - Psychiatric/Mental Health in Indianapolis, IN

Active since January 11, 2016PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
11335 FONTHILL DR, INDIANAPOLIS, IN 46236(260) 416-2930 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 14, 2026, Mar 1, 2021, Feb 16, 2021 and 1 more (4 updates tracked since 2016).

About Tina Renee Duncan Np NPPES

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

TINA RENEE DUNCAN NP (NPI 1548626229) is an individual psychiatric/mental health provider in Indianapolis, Indiana, licensed in Indiana (71006026A) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1548626229
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTINA RENEE DUNCANCredential: NP
Location Address11335 FONTHILL DRIndianapolis, IN 46236-8627
Mailing Address11335 Fonthill DrIndianapolis, IN 46236-8627 · (260) 416-2930
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 11, 2016
Last NPPES UpdateAugust 14, 20264 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1548626229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 71006026A
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AG1215114 (IN)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AG1215114 (IN)
11335 FONTHILL DR, Indianapolis, IN 46236

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 Duncan Np 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 ID6204130388
PECOS Enrollment IDI20160210001354
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Tina Duncan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
8240 NAAB RD STE 360
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 71 clinicians in this Medicare group
Psychiatry
2725 ENTERPRISE DR
Anderson, IN 46013
  • Reassigned Medicare billing, Indiana enrollment
  • 11 clinicians in this Medicare group
Psychiatric Hospital
900 N HIGH SCHOOL RD
Indianapolis, IN 46214
  • Reassigned Medicare billing, Indiana enrollment
  • 7 clinicians in this Medicare group
Psychiatry
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Indiana enrollment
  • 99 clinicians in this Medicare group
Family Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Indiana enrollment
  • 99 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.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
84 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46236 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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 Duncan's NPI number?

The NPI number for Tina Duncan is 1548626229. It was assigned to this individual provider in the NPPES registry on January 11, 2016.

Where is Tina Duncan located?

Tina Duncan practices at 11335 Fonthill Dr, Indianapolis, IN 46236. The listed phone number is (260) 416-2930.

What is Tina Duncan's specialty?

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

Is Tina Duncan enrolled in Medicare?

Yes. Tina Duncan 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 Duncan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Duncan reassigns Medicare benefits to 5 organizations: Indiana United Psych LLC (Indianapolis, IN), Psychiatric Management Services (Anderson, IN), Assurance Health Indianapolis, LLC (Indianapolis, IN), Psychiatry Of Texas PLLC (Houston, TX) and Psychplus Medical Associates, PLLC (Houston, TX). 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 Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Duncan accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Tina Duncan 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 Tina Duncan was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.