MRS. TABITHA L CONRAD (PA-C) – Physician Assistant, NPI 1184684623

MRS. TABITHA L CONRAD (PA-C) is a healthcare provider. based in Indiana, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA003026L (PA). The NPI Number for MRS. TABITHA L CONRAD (PA-C) is 1184684623

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TABITHA L CONRAD (PA-C)
NPI
1184684623
Phone
(724) 357-7333
Address
640 KOLTER DR
Enumeration Date
27 March 2006
Last Update Date
16 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7244652676
Graduation Year
1999 (27 years ago)
PAC ID
5092754580
Group Practice PAC ID
7517472178
Professional Enrollment ID
I20050425000946
Address ID
PA157013629IN835XXRDXX300

Contacts

Secure Messaging
tabitha.conrad@irmc.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

9,738 PHYSICIAN ASSISTANT in PA

Provider Addresses for MRS. TABITHA L CONRAD (PA-C)

  • 640, Kolter Drive, Getty Heights, White Township, Indiana County, Pennsylvania, 15701, United States

    INDIANA, PA 157013570

    Phone: (724) 357-7333

    Fax: (724) 357-7279

    Type: Mailing

  • 120 IRMC DR STE 160

    INDIANA, PA 157013675

    Phone: (724) 465-2676

    Fax: (724) 349-1830

    Type: Location

  • Wayne Avenue, Lynhurst, Indianapolis, Marion, Indiana, 46241, United States

    SUITE 307

    INDIANA, PA 157013501

    Phone: (724) 465-2676

    Fax: (724) 349-1830

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $145.

Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: ABIOMED ($100).

Total Amount

$145

General + Research + Ownership

Payments

8

Total payment records

General Amount

$145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

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: 2005-04-25

PECOS data refreshed: 2026-06-15

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
I20050425000946IPhysician AssistantPATBD

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 15701)

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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: 7517472178View full group profile
NameSpecialtyState
Physician AssistantPA
Orthopedic SurgeryPA
P O D I A T R YPA
Orthopedic SurgeryPA
Physician AssistantPA
Physician AssistantPA
Orthopedic SurgeryIL
Physician AssistantPA
Physician AssistantPA
Physician AssistantPA

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. TABITHA L CONRAD (PA-C)'s NPI?
Yes. MRS. TABITHA L CONRAD (PA-C) is listed with NPI 1184684623 in the public NPI dataset.
Is MRS. TABITHA L CONRAD (PA-C) listed as active for patients and plans?
The listing shows MRS. TABITHA L CONRAD (PA-C) as active in the NPI system.
What is MRS. TABITHA L CONRAD (PA-C)'s primary classification?
Physician Assistant is the headline specialty for MRS. TABITHA L CONRAD (PA-C) here. Clinical services aligned with this taxonomy classification.
Does MRS. TABITHA L CONRAD (PA-C) list a practice location?
Patients near Indiana, Pennsylvania may find MRS. TABITHA L CONRAD (PA-C) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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