REBECCA TATUM (ARNP) – Family Nurse Practitioner, NPI 1760461065
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
7,347 NURSE PRACTITIONER in KY
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Provider Addresses for REBECCA TATUM (ARNP)
2412, Ring Road, Indian Hills, Elizabethtown, Hardin County, Kentucky, 42701, United States
SUITE 200
ELIZABETHTOWN, KY 427017998
Phone: (270) 765-5926
Fax: (270) 763-0051
Type: Mailing
PO BOX 776351
CHICAGO, IL 606776351
Phone: (502) 588-9490
Fax: (502) 272-5116
Type: Mailing
157 TOWNE DR STE 104
ELIZABETHTOWN, KY 427018460
Phone: (270) 765-5926
Fax: (270) 763-0051
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $156.
Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.
Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($125).
Total Amount
$156
General + Research + Ownership
Payments
2
Total payment records
General Amount
$156
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phathom Pharmaceuticals, Inc. | $125 |
| Amgen Inc. | $31 |
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: 2006-04-25
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 |
|---|---|---|---|---|
| I20060425000536 | I | Nurse Practitioner | KY | 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 | 593 | 243 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 146 | 146 | $0 |
| 71046 | X-ray of chest, 2 views | 83 | 82 | $0 |
| G0008 | Administration of influenza virus vaccine | 81 | 81 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 80 | 80 | $0 |
Insurance plans in this area (ZIP 42701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | KY | 90670 | Pneumococcal vaccine for injection into muscle | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| N E U R O S U R G E R Y | KY | |
| - | KY | |
| Internal Medicine | KY | |
| Orthopedic Surgery | KY | |
| Orthopedic Surgery | IL | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| N E U R O L O G Y | KY | |
| Orthopedic Surgery | KY |
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