Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1285697029 Deactivated / Inactive NPI Female Practitioner

Tammy Pike , RN, CNN, APN

Nurse Practitioner • Mount Vernon, IL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tammy Pike has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 11, 2006
NPI Deactivation Date June 10, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Tammy Pike, RN, CNN, APN was a registered Nurse Practitioner practicing in Mount Vernon, IL. Throughout an active medical career spanning 13 years, Tammy Pike provided care at the practice location at 2 GOOD SAMARITAN WAY until profile deactivation on 2019-06-10.

Historical Medicare Part B clinical services included established patient outpatient office visit, dialysis services, 2-3 physician visits per month (20 years or older), dialysis services. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2 Good Samaritan Way
Suite 400

Mount Vernon, IL 628642408

Telephone 6188994000
Fax 6188994790
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Mount Vernon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.7 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
23 Specialists

Practicing in Mount Vernon, IL (4929 Statewide)

Telehealth Adoption Rate
8.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
599 373 $156.92 $66.02
99213 Established patient office or other outpatient visit, typically 15 minutes
169 130 $99.24 $42.84
90961 Dialysis services, 2-3 physician visits per month (20 years or older)
112 45 $593.00 $199.19
90960 Dialysis services, 4 or more physician visits per month (20 years or older)
91 31 $712.00 $236.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
69 69 $159.12 $64.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
57 35 $161.88 $61.27
90962 Dialysis services, 1 physician visit per month (20 years or older)
18 16 $470.00 $153.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $269.00 $109.41

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209003465

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Taylor Rapp

Physician Assistant

NPI 1134077548
Dr. Daniel Hoffman , MD

Internal Medicine

NPI 1134147432

Doctor of Medicine (M.D.)

NPI 1144541772

Doctor of Medicine (M.D.)

Dr. Olufeyisayo Taiwo , MD

Obstetrics & Gynecology

NPI 1194108712

Doctor of Medicine (M.D.)

Sharron Gingrich , NP

Nurse Practitioner

NPI 1205821923

Nurse Practitioner

Dr. Jose Amorado , MD

Internal Medicine

NPI 1285674598

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated June 10, 2019

Record deactivated on June 10, 2019

NPI Profile Active January 21, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2013

Registered at 2 GOOD SAMARITAN WAY, SUITE 400, MOUNT VERNON, IL 628642408 (Tel: 6188994000)

📍
Updated Business Mailing Address January 21, 2013

Registered at 2 GOOD SAMARITAN WAY, SUITE 400, MOUNT VERNON, IL 628642408 (Tel: 6188994000)

👤
Provider Name / Credentials Updated January 21, 2013

Recorded as TAMMY PIKE, RN, CNN, APN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2013

Nurse Practitioner (License #209003465 in IL)

🟢
Initial NPI Registration & Enumeration April 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Tammy Pike. Be the first to share your experience!

Sign in to leave a review for Tammy Pike

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1285697029
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2006
Last Update: January 21, 2013
Deactivation Date: June 10, 2019

Mailing Address

2 Good Samaritan Way, Suite 400

Mount Vernon, IL 628642408

Phone: 6188994000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.