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TIRAE LANISE ABERNATHY CNM
NPI 1427741156
Advanced Practice Midwife in Florissant, MO

Active since May 30, 2023PECOS Enrolled
16736 STANFORD PLACE DR, FLORISSANT, MO 63034(314) 629-7949 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 28, 2023, May 30, 2023 (2 updates tracked since 2023).

About Tirae Lanise Abernathy Cnm NPPES

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

TIRAE LANISE ABERNATHY CNM (NPI 1427741156) is an individual advanced practice midwife in Florissant, Missouri, licensed in Missouri (2023035282) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427741156
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameTIRAE LANISE ABERNATHYCredential: CNM
Location Address16736 STANFORD PLACE DRFlorissant, MO 63034-3213
Mailing Address16736 Stanford Place DrFlorissant, MO 63034-3213
Phone(314) 629-7949
Sole ProprietorNo
Enumeration DateMay 30, 2023
Last NPPES UpdateAugust 28, 20232 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1427741156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in MO · 2023035282
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2023035283 (MO)
16736 STANFORD PLACE DR, Florissant, MO 63034
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tirae Lanise Abernathy Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Tirae Abernathy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Affinia Healthcare
14 mi
Federally Qualified Health Center (FQHC)
4414 N FLORISSANT AVE
Saint Louis, MO 63107
  • Reassigned Medicare billing, Missouri enrollment
  • 85 clinicians in this Medicare group
NPI 1093723959 (314) 898-1700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63034 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Tirae Abernathy's NPI number?

The NPI number for Tirae Abernathy is 1427741156. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Where is Tirae Abernathy located?

Tirae Abernathy practices at 16736 Stanford Place Dr, Florissant, MO 63034. The listed phone number is (314) 629-7949.

What is Tirae Abernathy's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Tirae Abernathy enrolled in Medicare?

Yes. Tirae Abernathy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tirae Abernathy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tirae Abernathy reassigns Medicare benefits to Affinia Healthcare (Saint Louis, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tirae Abernathy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tirae Abernathy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Tirae Abernathy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tirae Abernathy was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.