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: November 01, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tabitha Chu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
304 TEACO RD STE A
Kennett, MO 63857
  • Reassigned Medicare billing, Missouri and Arkansas enrollments
  • Also billed through NPI 1073154019 (Arkansas)
  • 116 clinicians in this Medicare group
Family Medicine
1701 LACEY ST
Cape Girardeau, MO 63701
  • Reassigned Medicare billing, Missouri enrollment
  • 470 clinicians in this Medicare group

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 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.

Nurse Practitioner
304 TEACO RD
KENNETT, MO 63857
Obstetrics & Gynecology
304 TEACO RD, SUITE G
KENNETT, MO 63857
Clinic/Center (Rural Health)
304 TEACO RD, SUITE G
KENNETT, MO 63857
Family Medicine
304 TEACO RD, SUITE B
KENNETT, MO 63857
Nurse Practitioner (Primary Care)
304 TEACO RD
KENNETT, MO 63857
Anesthesiology (Pain Medicine)
304 TEACO RD
KENNETT, MO 63857
Social Worker (Clinical)
304 TEACO RD
KENNETT, MO 63857
Nurse Practitioner (Family)
304 TEACO RD
KENNETT, MO 63857

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 Chu's NPI number?

The NPI number for Tabitha Chu is 1720629561. It was assigned to this individual provider in the NPPES registry on October 2, 2019.

Where is Tabitha Chu located?

Tabitha Chu practices at 304 Teaco Rd, Kennett, MO 63857. The listed phone number is (573) 559-3591.

What is Tabitha Chu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Tabitha Chu enrolled in Medicare?

Yes. Tabitha Chu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tabitha Chu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tabitha Chu reassigns Medicare benefits to 2 organizations: Mcpherson Medical & Diagnostic, LLC (Kennett, MO) and Southeast Missouri Hospital Physicians, LLC (Cape Girardeau, MO). Each 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 Tabitha Chu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tabitha Chu 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 6 other insurers list Tabitha Chu 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 Tabitha Chu was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.