MRS. TABITHA RAE ATTREAU (APRN, PMHNP-BC) – Addiction (Substance Use Disorder) Counselor, NPI 1225211998

MRS. TABITHA RAE ATTREAU (APRN, PMHNP-BC) is a healthcare provider. based in Wichita, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, PMHNP-BC. They hold a License No. 5382358041 (KS). The NPI Number for MRS. TABITHA RAE ATTREAU (APRN, PMHNP-BC) is 1225211998

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TABITHA RAE ATTREAU (APRN, PMHNP-BC)
NPI
1225211998
Phone
(316) 202-2110
Address
345 N Riverview St Ste 730
Enumeration Date
17 December 2007
Last Update Date
2 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3162022110
Graduation Year
2023 (3 years ago)
PAC ID
0648621870
Group Practice PAC ID
0244634293
Professional Enrollment ID
I20240111002805
Address ID
KS672034267WI345XXSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

Provider Addresses for MRS. TABITHA RAE ATTREAU (APRN, PMHNP-BC)

  • 345 N Riverview St Ste 730

    Wichita, KS 672034267

    Phone: (316) 202-2110

    Type: Location

  • 7829 E ROCKHILL ST STE 105

    WICHITA, KS 672063919

    Phone: (316) 221-5545

    Type: Location

  • 411 N WASHINGTON ST,

    APT, SUITE, FLOOR, ETC.

    EL DORADO, KS 670422037

    Phone: (316) 323-0850

    Type: Mailing

  • 900, West Broadway Street, Newton, Harvey County, Kansas, 67114, United States

    NEWTON, KS 671142037

    Phone: (316) 283-1950

    Fax: (316) 283-9540

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $110.

Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Corium, LLC ($69).

Total Amount

$110

General + Research + Ownership

Payments

10

Total payment records

General Amount

$110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-01-11

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
I20240111002805INurse PractitionerKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67203)

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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: 0244634293View full group profile
NameSpecialtyState
Clinical Social WorkerKS
Clinical Social WorkerKS
Mental Health CounselorKS
Clinical Social WorkerKS
Clinical Social WorkerKS
Clinical Social WorkerKS
Clinical Social WorkerKS
Clinical Social WorkerKS
Clinical Social WorkerKS
Clinical Social WorkerKS

Reviews

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Frequently asked questions

Does MRS. TABITHA RAE ATTREAU (APRN, PMHNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. TABITHA RAE ATTREAU (APRN, PMHNP-BC) uses 1225211998.
Does CMS list MRS. TABITHA RAE ATTREAU (APRN, PMHNP-BC) as active?
Yes — MRS. TABITHA RAE ATTREAU (APRN, PMHNP-BC) is active in the NPI listing used on this page.
What healthcare role does MRS. TABITHA RAE ATTREAU (APRN, PMHNP-BC) hold?
Scheduling teams often label MRS. TABITHA RAE ATTREAU (APRN, PMHNP-BC) under Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. TABITHA RAE ATTREAU (APRN, PMHNP-BC)?
MRS. TABITHA RAE ATTREAU (APRN, PMHNP-BC)'s geographic hint is Wichita, Kansas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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