TABITHA BALDERAS DE KATUNZI (APRN) – Family Nurse Practitioner, NPI 1356719678

TABITHA BALDERAS DE KATUNZI (APRN) is a healthcare provider. based in Wichita, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 76850 (KS). The NPI Number for TABITHA BALDERAS DE KATUNZI (APRN) is 1356719678

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
TABITHA BALDERAS DE KATUNZI (APRN)
NPI
1356719678
Phone
(316) 682-6551
Address
201 S HILLSIDE ST
Enumeration Date
2 September 2015
Last Update Date
30 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3166826551
Graduation Year
2015 (11 years ago)
PAC ID
1153621412
Group Practice PAC ID
4385837293
Professional Enrollment ID
I20151118002902
Address ID
KS672112128WI201XXSTXX400

Contacts

Secure Messaging
Cliftonfamilymedicine@protonmail.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

3,576 NURSE PRACTITIONER in KS

Provider Addresses for TABITHA BALDERAS DE KATUNZI (APRN)

  • 201 S HILLSIDE ST

    WICHITA, KS 672112128

    Phone: (316) 682-6551

    Fax: (316) 682-8151

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-04-22 • Largest payer in this snapshot: Novo Nordisk Inc ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$16
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: 2015-11-18

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (928 days ago).

Enrollment records

1

Earliest due date

2023-11-30

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
I20151118002902INurse PractitionerKS2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99213Established patient office or other outpatient visit, 20-29 minutes4431$0
99214Established patient office or other outpatient visit, 30-39 minutes1817$0
83036Hemoglobin a1c level1111$0
G0008Administration of influenza virus vaccine1111$0
View full utilization report →

Insurance plans in this area (ZIP 67211)

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Provider's Procedures

TABITHA BALDERAS DE KATUNZI (APRN) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERKS83036Hemoglobin A1C level3025
NURSE PRACTITIONERKS90670Pneumococcal vaccine for injection into muscle1212

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: 4385837293View full group profile
NameSpecialtyState
Family PracticeKS
Family Practice, General Practice, Osteopathic Manipulative MedicineKS
Physician AssistantKS
-TX
Physician AssistantKS

Reviews

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Frequently asked questions

What unique ID ties claims to TABITHA BALDERAS DE KATUNZI (APRN)?
NPI 1356719678 is assigned to TABITHA BALDERAS DE KATUNZI (APRN) under the national enumeration system.
Is TABITHA BALDERAS DE KATUNZI (APRN) active in the national directory?
TABITHA BALDERAS DE KATUNZI (APRN)'s public NPI profile is in an active state.
What does TABITHA BALDERAS DE KATUNZI (APRN) treat or focus on?
Patients typically see TABITHA BALDERAS DE KATUNZI (APRN) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for TABITHA BALDERAS DE KATUNZI (APRN)?
The page summarizes Wichita, Kansas for TABITHA BALDERAS DE KATUNZI (APRN); expand the address list for detail.
How can I contact TABITHA BALDERAS DE KATUNZI (APRN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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