Individual provider Active NPI

Tess Lins, APRN

  • Dermatology Physician
  • Sun City Center, FL
National Provider Identifier
1104434745
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
11007936 Issued in FL
Practice address
957 E del Webb Blvd Ste 101
Sun City Center, FL 33573-6671
Phone
(813) 634-1484
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11007936 FL
Dermatology Physician 207N00000X 11007936 FL Primary

Addresses

Primary practice location

957 E del Webb Blvd Ste 101
Sun City Center, FL 33573-6671

Mailing address

11123 Great Neck Rd
Riverview, FL 33578-4686
Phone (321) 243-9513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200923000041 FL Practitioner - Nurse Practitioner 9436578523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hightower Dermatology Services, LLCGroup PAC ID 7315189578, 5 clinicians

Practice addresses (Care Compare)

957 E del Webb Blvd
Suite 101
Sun City Center, FL 33573-6671
Phone (813) 634-1484

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11007936FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hightower Dermatology Services, LLC Dermatology CurrentSince Aug 10, 2020 Accepting new patients

Locations

957 E Del Webb Blvd
Ste 101
Sun City Ctr, FL 33573
Phone (813) 634-1484

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7320/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tlins@hightower.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1104434745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11123 GREAT NECK RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784686",
            "telephone_number": "321-243-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 E DEL WEBB BLVD STE 101",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736671",
            "telephone_number": "813-634-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINS",
        "first_name": "TESS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2021-11-12",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007936",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "11007936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

Verify at the official NPI Registry.