Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1316035025 Deactivated / Inactive NPI Female Practitioner

Tina Mcellis , NURSE PRACTITIONER

Nurse Practitioner • Dyer, IN

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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, Tina Mcellis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 10, 2006
NPI Deactivation Date March 27, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Tina Mcellis, NURSE PRACTITIONER was a registered Nurse Practitioner practicing in Dyer, IN. Throughout an active medical career spanning 11 years, Tina Mcellis provided care at the practice location at 919 MAIN STREET until profile deactivation on 2017-03-27.

Practice Location & Contact Primary Location

Practice Address

919 Main Street
Ste. 101

Dyer, IN 46311

Telephone 2199342400
Fax 2199342401
Associated Practice Facility / Clinic
🏢 Skin Cancer Care Center, Llc Facility NPI 1083995914

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Dyer, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
7 Specialists

Practicing in Dyer, IN (2620 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71001378A

(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

2 Associated Practitioners
NPI 1003054669

PHYSICALTHERAPIST

NPI 1962445932

NURSEPRACTITIONER

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 27, 2017

Record deactivated on March 27, 2017

NPI Profile Active August 31, 2015

NPI status registered as active in NPPES database

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Updated Practice Location August 31, 2015

Registered at 919 MAIN STREET, STE. 101, DYER, IN 46311 (Tel: 2199342400)

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Updated Business Mailing Address August 31, 2015

Registered at 919 MAIN ST 101, DYER, IN 463113717 (Tel: 2199342400)

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Provider Name / Credentials Updated August 31, 2015

Recorded as TINA MCELLIS, NURSE PRACTITIONER

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2015

Nurse Practitioner (License #71001378A in IN)

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Initial NPI Registration & Enumeration October 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316035025
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: August 31, 2015
Deactivation Date: March 27, 2017

Mailing Address

919 Main St 101

Dyer, IN 463113717

Phone: 2199342400

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.