TABITHA CHU
NPI 1720629561
Nurse Practitioner - Acute Care in Kennett, MO

Active since October 02, 2019PECOS EnrolledAccepts Medicare Assignment
304 TEACO RD, KENNETT, MO 63857(573) 559-3591 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 28, 2026, Feb 21, 2020, Oct 2, 2019 (3 updates tracked since 2019).

About Tabitha Chu NPPES

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

TABITHA CHU (NPI 1720629561) is an individual acute care provider in Kennett, Missouri, licensed in Missouri (2019010243) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hayti, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1720629561
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameTABITHA CHU
Location Address304 TEACO RDKennett, MO 63857-3266
Mailing Address304 Teaco RdKennett, MO 63857-3266
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 2, 2019
Last NPPES UpdateMay 28, 20263 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1720629561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses Licensed in MO · 2019010243 Licensed in AR · 124196 Licensed in OH · 0042037
304 TEACO RD, Kennett, MO 63857

Secondary Practice Location 1

Location 1223 S 3rd StHayti, MO 63851-1617 · Phone (573) 479-3075

Accepted Insurance

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

Tabitha Chu 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 ID7012349475
PECOS Enrollment IDI20191123000067, I20250727000087
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 63857 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
2 suppliers18 claims18 services$63.08 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers27 claims27 services$7.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Clinic/Center (Rural Health)
304 TEACO RD, STE B
KENNETT, MO 63857
Obstetrics & Gynecology
304 TEACO RD, SUITE G
KENNETT, MO 63857
Clinic/Center (Rural Health)
304 TEACO RD, SUITE A
KENNETT, MO 63857
Family Medicine
304 TEACO RD, SUITE B
KENNETT, MO 63857
Family Medicine
304 TEACO RD, SUITE A
KENNETT, MO 63857
Clinic/Center (Rural Health)
304 TEACO RD, SUITE G
KENNETT, MO 63857
Internal Medicine (Cardiovascular Disease)
304 TEACO RD
KENNETT, MO 63857
Nurse Practitioner (Primary Care)
304 TEACO RD
KENNETT, MO 63857

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720629561, enumerated as an "individual" on October 02, 2019.

The provider is located at 304 TEACO RD KENNETT, MO 63857 and the phone number is (573) 559-3591.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and. Please consult your insurance carrier or call the provider to verify.