TINA A WINTER FNP
NPI 1922676675
Nurse Practitioner - Family in Maryville, IL

Active since June 17, 2021PECOS EnrolledAccepts Medicare Assignment
74.42/100
CMS Quality Rating
2090 VADALABENE DR, MARYVILLE, IL 62062(618) 288-5430 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 2, 2023, Jan 4, 2022, Dec 6, 2021 and 1 more (4 updates tracked since 2021).

About Tina A Winter Fnp NPPES

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

TINA A WINTER FNP (NPI 1922676675) is an individual family provider in Maryville, Illinois, licensed in Illinois (209023356) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1922676675
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTINA A WINTERCredential: FNP
Location Address2090 VADALABENE DRMaryville, IL 62062-5841
Mailing Address320 E Highway 50O Fallon, IL 62269-2704 · (888) 577-6337
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 17, 2021
Last NPPES UpdateDecember 19, 20234 updates tracked since enumeration
NPPES CertifiedDecember 19, 2023
NPI 1922676675 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
Licenses Licensed in IL · 209023356 Licensed in MO · 2021022247
2090 VADALABENE DR, Maryville, IL 62062

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

Tina A Winter 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 ID941699896
PECOS Enrollment IDI20211115001037
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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
188 services122 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services73 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
67 services67 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
21 services18 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

St Joseph's Hospital

Critical Access Hospitals · Highland, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141336
Location12866 Troxler AvenueHighland, IL 62249 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62062 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

74.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.31
Promoting Interoperability85
Improvement Activities40
Cost56.92

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
2090 VADALABENE DR
MARYVILLE, IL 62062
Family Medicine
2090 VADALABENE DR
MARYVILLE, IL 62062
Nurse Practitioner (Family)
2090 VADALABENE DR
MARYVILLE, IL 62062

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 Winter's NPI number?

The NPI number for Tina Winter is 1922676675. It was assigned to this individual provider in the NPPES registry on June 17, 2021.

Where is Tina Winter located?

Tina Winter practices at 2090 Vadalabene Dr, Maryville, IL 62062. The listed phone number is (618) 288-5430.

What is Tina Winter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tina Winter enrolled in Medicare?

Yes. Tina Winter 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 Tina Winter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Tina Winter 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 Winter affiliated with any hospitals?

According to CMS data, Tina Winter is affiliated with Anderson Hospital and St Joseph's Hospital.

When was this NPI record last updated?

The NPPES record for Tina Winter was last updated on December 19, 2023. 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.