TABITHA BREWER (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1164221826

TABITHA BREWER (APRN) is a healthcare provider. based in Claremore, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 222407 (OK). The NPI Number for TABITHA BREWER (APRN) is 1164221826

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
TABITHA BREWER (APRN)
NPI
1164221826
Phone
(918) 608-0380
Address
1402 N FLORENCE AVE
Enumeration Date
13 March 2025
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9186080380
Graduation Year
2024 (2 years ago)
PAC ID
7416463278
Group Practice PAC ID
0345670733
Professional Enrollment ID
I20250719000318
Address ID
OK740173159CL1402XAVEX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for TABITHA BREWER (APRN)

  • 1402 N FLORENCE AVE

    CLAREMORE, OK 740173159

    Phone: (918) 608-0380

    Type: Mailing

  • 405 E EXCELSIOR AVE

    VINITA, OK 743014226

    Phone: (844) 458-2100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-07-19

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
I20250719000318INurse PractitionerOKTBD

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 74017)

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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: 0345670733View full group profile
NameSpecialtyState
Mental Health CounselorOK
Mental Health CounselorOK
Marriage And Family TherapistOK
Mental Health CounselorOK
Mental Health CounselorOK
Mental Health CounselorOK
Nurse PractitionerOK
Clinical Social WorkerOK
Mental Health CounselorOK
Clinical Social WorkerOK

Reviews

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Frequently asked questions

Is there an official ID for TABITHA BREWER (APRN) in U.S. healthcare records?
The official identifier for TABITHA BREWER (APRN) is NPI 1164221826.
Active or inactive — what applies to TABITHA BREWER (APRN)?
You should see TABITHA BREWER (APRN) as active in CMS-hosted NPPES data.
What kind of doctor is TABITHA BREWER (APRN)?
TABITHA BREWER (APRN) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is TABITHA BREWER (APRN) located near Claremore?
TABITHA BREWER (APRN) currently maps to Claremore, Oklahoma in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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