TAMARA K CANTERBURY (APRN) – Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1255483772
Psychiatric/Mental Health Clinical Nurse Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,551 NURSE PRACTITIONER in KS
Provider Addresses for TAMARA K CANTERBURY (APRN)
PO BOX 677
OTTAWA, KS 660670677
Phone: (785) 242-3780
Fax: (785) 242-6397
Type: Mailing
2537 EISENHOWER RD
OTTAWA, KS 660679482
Phone: (785) 242-3780
Fax: (785) 242-6397
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $218.
Total Amount is formed as General ($218) + Research ($0) + Ownership ($0) = $218.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Alkermes, Inc. ($91).
Total Amount
$218
General + Research + Ownership
Payments
11
Total payment records
General Amount
$218
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-05-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050505000478 | I | Nurse Practitioner | KS | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 200 | 76 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 34 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 66067)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | KS | 90792 | Psychiatric diagnostic evaluation with medical services | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| Clinical Social Worker | KS | |
| Marriage And Family Therapist | CO | |
| Mental Health Counselor | KS | |
| Mental Health Counselor | KS | |
| Nurse Practitioner | IA | |
| Mental Health Counselor | KS | |
| Clinical Psychologist | KS | |
| Mental Health Counselor | KS | |
| Mental Health Counselor | KS |
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