TAMARA ELISE WHITE (FNP-C) – Family Nurse Practitioner, NPI 1104410059

TAMARA ELISE WHITE (FNP-C) is a healthcare provider. based in Kansas city, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 2021044083 (MO). The NPI Number for TAMARA ELISE WHITE (FNP-C) is 1104410059

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
TAMARA ELISE WHITE (FNP-C)
NPI
1104410059
Phone
Not provided
Address
3801 DR MARTIN LUTHER KING JR BLVD
Enumeration Date
22 February 2021
Last Update Date
30 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8169235800
Graduation Year
2022 (4 years ago)
PAC ID
0840655213
Group Practice PAC ID
5294644530
Professional Enrollment ID
I20230509000133
Address ID
MO641302807KA3801XBLVD700
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:5State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for TAMARA ELISE WHITE (FNP-C)

  • 3801 DR MARTIN LUTHER KING JR BLVD

    KANSAS CITY, MO 641302807

    Phone:

    Type: Mailing

  • 600 MOYE BLVD

    GREENVILLE, NC 278344300

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $279.

Total Amount is formed as General ($279) + Research ($0) + Ownership ($0) = $279.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($108).

Total Amount

$279

General + Research + Ownership

Payments

9

Total payment records

General Amount

$279

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2023-05-09

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
I20230509000133INurse PractitionerMOTBD

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 64130)

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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: 5294644530View full group profile
NameSpecialtyState
Nurse PractitionerMO
Internal MedicineMO
Nurse PractitionerMO
Internal MedicineKS
Diagnostic RadiologyKS
Physician AssistantMO
Nurse PractitionerMO
-MO
Nurse PractitionerMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

How do I look up TAMARA ELISE WHITE (FNP-C) by NPI?
Use NPI 1104410059 when you need to reference TAMARA ELISE WHITE (FNP-C) in forms, claims, or directories.
Is TAMARA ELISE WHITE (FNP-C)'s NPI currently valid?
The extract we use shows TAMARA ELISE WHITE (FNP-C) as active.
What does TAMARA ELISE WHITE (FNP-C) treat or focus on?
Patients typically see TAMARA ELISE WHITE (FNP-C) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does TAMARA ELISE WHITE (FNP-C) practice in Missouri?
You will see Kansas City, Missouri on file for TAMARA ELISE WHITE (FNP-C) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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