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KATHERINE DENISE TULLY CNNP
NPI 1689727380
Nurse Practitioner - Neonatal in Virginia Beach, VA

Active since January 18, 2007PECOS Enrolled
1060 1ST COLONIAL RD, PEDIATRIX MEDICAL GROUP, VIRGINIA BEACH, VA 23454(757) 395-6326(757) 395-6387 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katherine Denise Tully Cnnp NPPES

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

KATHERINE DENISE TULLY CNNP (NPI 1689727380) is an individual neonatal provider in Virginia Beach, Virginia, licensed in Virginia (0024166425) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689727380
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameKATHERINE DENISE TULLYCredential: CNNP
Location Address1060 1ST COLONIAL RD, PEDIATRIX MEDICAL GROUPVirginia Beach, VA 23454
Mailing Address306 Pasture LaneYork Town, VA 23693 · (757) 343-6146
Phone(757) 395-6326
Fax(757) 395-6387
Sole ProprietorNo
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689727380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in VA · 0024166425
1060 1ST COLONIAL RD, Virginia Beach, VA 23454
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Other Names 1

Former Name (1)Katherine Burke Simpson

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Denise Tully Cnnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23454 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Katherine Tully's NPI number?

The NPI number for Katherine Tully is 1689727380. It was assigned to this individual provider in the NPPES registry on January 18, 2007. The provider is also known as Katherine Burke Simpson.

Where is Katherine Tully located?

Katherine Tully practices at 1060 1st Colonial Rd Pediatrix Medical Group, Virginia Beach, VA 23454. The listed phone number is (757) 395-6326.

What is Katherine Tully's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Katherine Tully enrolled in Medicare?

Yes. Katherine Tully is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Tully was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.