Tierra Royal, FNP-C
- Part D claims, 2024
- 128
- Industry payments
- $54
- Affiliated sites
- 2
- Medical group
- 1
- State license
- 1
- Practice address
- 4024 Plank Rd, Fredericksburg, VA 22407
- Practice phone
- Call (800) 805-6989
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Crossroads Treatment Centers
Fredericksburg, Virginia
Find Tierra Royal's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Tierra Royal is a nurse practitioner in Fredericksburg, Virginia
Tierra Royal practices at Crossroads Treatment Centers in Fredericksburg, Virginia.
Tierra Royal's NPI, 1205696010, was assigned on March 20, 2024. Tierra Royal holds Virginia license 0024189873.
- NPI
- 1205696010NPI Registry (opens in a new tab)
- Medicare PAC ID
- 8123553823
- NPI enumeration date
- March 20, 2024
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (800) 805-6989
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 29
- Medical school graduation
- 2023
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Tierra Royal practices at Crossroads Treatment Centers in Fredericksburg, Virginia
Tierra Royal's primary practice is Crossroads Treatment Centers, at 4024 Plank Rd, Fredericksburg, VA 22407 in Spotsylvania County. The practice phone is (800) 805-6989.
- Crossroads Treatment Centers4024 Plank Rd, Fredericksburg, VA 22407 · Spotsylvania CountyPhone(800) 805-6989
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Tierra Royal is affiliated with 3 sites of care and 1 medical group
Tierra Royal's primary practice is Crossroads Treatment Centers in Fredericksburg, Virginia. The medical group on file is Crossroads of Abingdon, VA (Crossroads Treatment Centers). Dmand AI also links Tierra Royal to 1 more physician office and 1 group practice or clinic, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Tierra Royal's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Tierra Royal practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Crossroads Treatment Centers | Available with a free account |
| +2 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Tierra Royal is one of 1,255 nurse practitioners in Virginia
Nurse practitioner is Tierra Royal's primary specialty in the NPI Registry, under taxonomy code 363L00000X. Tierra Royal is licensed in Virginia.
Specialties and state licenses
- Nurse practitioner, VirginiaPrimary
Nurse practitioners near Tierra Royal
Counts of nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Tierra Royal's patients have a median age of 41
Across all payers, Dmand AI patient panel data puts Tierra Royal's median patient age at 41, with 43% women.
Tierra Royal's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 41
Patient panel by sex, all payers
- Women43%
- Men57%
Source: Dmand AI Patient Panel Data
Tierra Royal wrote 128 Medicare Part D claims in 2024
In 2024, Tierra Royal wrote 128 Medicare Part D claims for 70 patients. 88% of them were for generic drugs.
Tierra Royal's Part D claims by kind of drug, 2024
- Generic113 claims88%
- Brand-name and other15 claims12%
Drug classes CMS tracks in Tierra Royal's Part D claims, 2024
- Antibiotics34%43 of 128 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Source: Medicare Part D Prescribers - by Provider (CMS), 2024 data
How Tierra Royal takes part in Medicare
Tierra Royal accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
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Tierra Royal received $54 in industry payments in 2025
CMS Open Payments shows 3 general payments to Tierra Royal from 2 drug and device companies in 2025. Food and beverage make up the largest share, 100% of the total. Indivior Inc. paid the most, $34.
Companies that paid Tierra Royal the most, 2025 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Tierra Royal's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| Part D prescribing | Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Tierra Royal
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Tierra Royal's NPI number?
Tierra Royal's NPI number is 1205696010. It was assigned on March 20, 2024, and it is active in the NPI Registry.
What does Tierra Royal specialize in?
Tierra Royal is a nurse practitioner in Fredericksburg, Virginia. The primary specialty in the NPI Registry is Nurse Practitioner (taxonomy code 363L00000X).
Where does Tierra Royal practice?
Tierra Royal practices at 4024 Plank Rd, Fredericksburg, VA 22407. Tierra Royal's primary practice is Crossroads Treatment Centers in Fredericksburg, Virginia. Dmand AI also links Tierra Royal to 1 physician office and 1 group practice or clinic.
What is Tierra Royal's office phone number?
The practice phone on file for Tierra Royal is (800) 805-6989.
What is Tierra Royal's medical license number?
Tierra Royal holds Virginia license 0024189873.
What medical group is Tierra Royal part of?
Tierra Royal is linked to Crossroads of Abingdon, VA (Crossroads Treatment Centers).
Does Tierra Royal accept Medicare?
Yes. CMS lists Tierra Royal as accepting Medicare assignment.
Has Tierra Royal received payments from drug or device companies?
CMS Open Payments shows $54 in general payments to Tierra Royal from 2 companies from 2025 to 2025. The largest total came from Indivior Inc.
How long has Tierra Royal been practicing?
Tierra Royal graduated from medical school in 2023, 3 years ago.
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