TAMULA K MAXWELL (PA-C) – Physician Assistant, NPI 1255303681
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Loading map...
Provider Addresses for TAMULA K MAXWELL (PA-C)
26180 E STATE HIGHWAY MM
GILMAN CITY, MO 646428139
Phone: (660) 425-2365
Type: Mailing
Miller Street, Bethany, Harrison County, Missouri, 64424, United States
BETHANY, MO 644242713
Phone: (660) 425-3154
Fax: (660) 425-6663
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 68 Open Payments records for all available years, with a total value of $1,133.
Total Amount is formed as General ($1,133) + Research ($0) + Ownership ($0) = $1,133.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($522).
Total Amount
$1,133
General + Research + Ownership
Payments
68
Total payment records
General Amount
$1,133
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $522 |
| Novo Nordisk Inc | $174 |
| AstraZeneca Pharmaceuticals LP | $162 |
| Lilly USA, LLC | $75 |
| Daiichi Sankyo Inc. | $23 |
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: 2010-06-26
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 |
|---|---|---|---|---|
| I20100626000357 | I | Physician Assistant | MO | 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 64642)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NM | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Clinical Social Worker | MO | |
| Emergency Medicine | TX | |
| Emergency Medicine | OK | |
| Hospitalist, Internal Medicine | FL | |
| Family Practice | MO | |
| - | MO |
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.