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TABITHA CHRISTINE UITENBROEK APNP
NPI 1467110148
Nurse Practitioner - Family in Appleton, WI

Active since November 30, 2021Opted out of Medicare · through Jan 19, 2028
4090 N ORION LN, APPLETON, WI 54913(920) 427-9873 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tabitha Christine Uitenbroek Apnp NPPES

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

TABITHA CHRISTINE UITENBROEK APNP (NPI 1467110148) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (11593-33) and active in the NPI registry since November 2021. She has opted out of Medicare through January 19, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1467110148
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTABITHA CHRISTINE UITENBROEKCredential: APNP
Location Address4090 N ORION LNAppleton, WI 54913-7619
Mailing Address4090 N Orion LnAppleton, WI 54913-7619 · (920) 427-9873
Phone(920) 427-9873
Sole ProprietorYes
Enumeration DateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
✔ NPI 1467110148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 11593-33
4090 N ORION LN, Appleton, WI 54913
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tabitha Christine Uitenbroek Apnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 19, 2022 through January 19, 2028.

Opt-Out Effective DateJanuary 19, 2022
Opt-Out In Effect ThroughJanuary 19, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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 Tabitha Uitenbroek's NPI number?

The NPI number for Tabitha Uitenbroek is 1467110148. It was assigned to this individual provider in the NPPES registry on November 30, 2021.

Where is Tabitha Uitenbroek located?

Tabitha Uitenbroek practices at 4090 N Orion Ln, Appleton, WI 54913. The listed phone number is (920) 427-9873.

What is Tabitha Uitenbroek's specialty?

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

Is Tabitha Uitenbroek enrolled in Medicare?

No. Tabitha Uitenbroek has opted out of Medicare through January 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Tabitha Uitenbroek was last updated on November 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.