TABATHA SCHELLENGER (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104324177

TABATHA SCHELLENGER (PMHNP) is a healthcare provider. based in Wasilla, Alaska. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. NURR29743 (AK). The NPI Number for TABATHA SCHELLENGER (PMHNP) is 1104324177

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
TABATHA SCHELLENGER (PMHNP)
NPI
1104324177
Phone
(907) 230-5681
Address
600 S STAMPER DR
Enumeration Date
25 January 2018
Last Update Date
25 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9072126900
Graduation Year
2017 (9 years ago)
PAC ID
7911260054
Group Practice PAC ID
8628965910
Professional Enrollment ID
I20180424001257
Address ID
AK995084683AN3760XSTXX312
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:8State licenses:2Digital endpointsOther names

761 NURSE PRACTITIONER in AK

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Provider Addresses for TABATHA SCHELLENGER (PMHNP)

  • 600 S STAMPER DR

    WASILLA, AK 996547763

    Phone: (907) 230-5681

    Type: Mailing

  • Providence Alaska Medical Center, 3200, Providence Drive, Anchorage, Alaska, 99515, United States

    ANCHORAGE, AK 995084615

    Phone: (907) 212-7994

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-04-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180424001257INurse PractitionerAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes31299$0
99215Established patient office or other outpatient visit, 40-54 minutes3125$0
View full utilization report →

Insurance plans in this area (ZIP 99654)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628965910View full group profile
NameSpecialtyState
Mental Health CounselorAK
Physician AssistantAK
P S Y C H I A T R YIN
Marriage And Family TherapistAK
-OR
Mental Health CounselorOR
Nurse PractitionerAK
Clinical Social WorkerAK
-OR
Clinical Social WorkerOR

Reviews

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Frequently asked questions

Can I verify TABATHA SCHELLENGER (PMHNP) with an NPI only?
You can start verification with NPI 1104324177 for TABATHA SCHELLENGER (PMHNP), then check state licensing separately.
Can I rely on TABATHA SCHELLENGER (PMHNP) being an active provider?
As of the registry snapshot, TABATHA SCHELLENGER (PMHNP) is marked active.
What taxonomy line describes TABATHA SCHELLENGER (PMHNP)?
For research purposes, treat TABATHA SCHELLENGER (PMHNP) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for TABATHA SCHELLENGER (PMHNP)?
TABATHA SCHELLENGER (PMHNP)'s geographic hint is Wasilla, Alaska in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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