DR. TABITHA MAE PAULL DNP-FNP - NPI 1598652471 - Nurse Practitioner in Santa Rosa, CA

Q: What is Tabitha Paull's NPI number?

The NPI number for Tabitha Paull is 1598652471. It was assigned to this individual provider in the NPPES registry on June 23, 2025.

Q: What is Tabitha Paull's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tabitha Paull was last updated on August 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Tabitha Mae Paull Dnp-fnp NPPES

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

DR. TABITHA MAE PAULL DNP-FNP (NPI 1598652471) is an individual family provider in Santa Rosa, California, licensed in Colorado (F06250193) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1598652471

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. TABITHA MAE PAULLCredential: DNP-FNP

Location Address1162 MONTGOMERY DR FL 2Santa Rosa, CA 95405-4802

Mailing Address2531 Montgomery AveConcord, CA 94519-1626

Phone(707) 890-4100

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 23, 2025

Last NPPES UpdateAugust 20, 2025

NPPES CertifiedAugust 20, 2025

✔ NPI 1598652471 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 CO · F06250193

Also ListedNurse PractitionerTaxonomy 363L00000X · License 95036454 (CA)

1162 MONTGOMERY DR FL 2, Santa Rosa, CA 95405

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tabitha Mae Paull Dnp-fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688176175

PECOS Enrollment IDI20250904002550

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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 5

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

SYDNEY JOYE DECASTILHOS FNP, BC

Nurse Practitioner (Family)