MERON TIBEBU (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1073065215
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for MERON TIBEBU (APRN)
5904 E Bannister Rd
Kansas City, MO 641341141
Phone: (816) 966-0900
Type: Location
1555 NE RICE RD
LEES SUMMIT, MO 640865849
Phone: (816) 966-0900
Type: Mailing
8800, Blue Ridge Boulevard, Bryant, Kansas City, Jackson County, Missouri, 64138, United States
KANSAS CITY, MO 641384000
Phone: (816) 966-0903
Type: Mailing
5904 E BANNISTER RD
KANSAS CITY, MO 641341141
Phone: (816) 966-0900
Type: Location
5575 WARREN PKWY STE 120
FRISCO, TX 750344093
Phone: (844) 824-8775
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $250.
Total Amount is formed as General ($250) + Research ($0) + Ownership ($0) = $250.
Last reported payment date: 2023-12-09 • Largest payer in this snapshot: Lundbeck LLC ($70).
Total Amount
$250
General + Research + Ownership
Payments
12
Total payment records
General Amount
$250
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-09
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: 2023-01-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20180621000770 | I | Nurse Practitioner | MO | TBD |
| I20181107000122 | I | Nurse Practitioner | KS | TBD |
| I20230113000010 | I | Nurse Practitioner | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64134)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | TX | |
| P S Y C H I A T R Y | NY | |
| Clinical Social Worker | TX | |
| Mental Health Counselor | TX | |
| Mental Health Counselor | TX | |
| Mental Health Counselor | TX | |
| P S Y C H I A T R Y | TX | |
| Clinical Psychologist | TX | |
| Nurse Practitioner | TX | |
| Mental Health Counselor | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.