KATHRYN TANNER
NPI 1275949497
Nurse Practitioner - Family in Bronx, NY

Active since July 08, 2014PECOS Enrolled
1894 WALTON AVE, BRONX, NY 10453(718) 583-3060 Get Directions Write a Review

NPPES record last updated: December 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathryn Tanner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN TANNER (NPI 1275949497) is an individual family provider in Bronx, New York, licensed in New York (339462) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of University Of Missouri, Columbia School Of Medicine (2015).

NPPES Registry Identity

NPI1275949497
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHRYN TANNER
Location Address1894 WALTON AVEBronx, NY 10453-6018
Mailing Address1894 Walton AveBronx, NY 10453-6018 · (718) 583-3060
Sole ProprietorYes
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2015
Enumeration DateJuly 8, 2014
Last NPPES UpdateDecember 22, 2016
NPI 1275949497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 339462
Also ListedRegistered NurseTaxonomy 163W00000X · License 671939 (NY)
1894 WALTON AVE, Bronx, NY 10453

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathryn Tanner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698096998
PECOS Enrollment IDI20150611000399
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1894 WALTON AVE
BRONX, NY 10453
Nurse Practitioner (Family)
1894 WALTON AVE
BRONX, NY 10453
Dentist
1894 WALTON AVE
BRONX, NY 10453
Family Medicine
1894 WALTON AVE
BRONX, NY 10453
Family Medicine
1894 WALTON AVE
BRONX, NY 10453
Family Medicine
1894 WALTON AVE
BRONX, NY 10453
Social Worker (Clinical)
1894 WALTON AVE
BRONX, NY 10453
Dentist
1894 WALTON AVE
BRONX, NY 10453

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Tanner's NPI number?

The NPI number for Kathryn Tanner is 1275949497. It was assigned to this individual provider in the NPPES registry on July 8, 2014.

Where is Kathryn Tanner located?

Kathryn Tanner practices at 1894 Walton Ave, Bronx, NY 10453. The listed phone number is (718) 583-3060.

What is Kathryn Tanner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathryn Tanner enrolled in Medicare?

Yes. Kathryn Tanner is registered in the Medicare PECOS enrollment system.

Is Kathryn Tanner affiliated with any hospitals?

According to CMS data, Kathryn Tanner is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Kathryn Tanner was last updated on December 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.