MR. CHRISTIAN DALE TANNER FNP-C
NPI 1790294007
Nurse Practitioner - Family in Saint Joseph, MO

Q: What is Christian Tanner's NPI number?

The NPI number for Christian Tanner is 1790294007. It was assigned to this individual provider in the NPPES registry on September 29, 2017.

Q: What is Christian Tanner'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 Christian Tanner was last updated on September 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 29, 2017PECOS EnrolledAccepts Medicare Assignment

5001 LAKE AVE, SAINT JOSEPH, MO 64504(816) 238-7788 Get Directions Write a Review

NPPES record last updated: September 29, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Christian Dale Tanner Fnp-c NPPES

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

MR. CHRISTIAN DALE TANNER FNP-C (NPI 1790294007) is an individual family provider in Saint Joseph, Missouri, licensed in Missouri (2017035200) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790294007

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. CHRISTIAN DALE TANNERCredential: FNP-C

Location Address5001 LAKE AVESaint Joseph, MO 64504-1170

Mailing Address18400 Se Highway 371Dearborn, MO 64439-8161 · (816) 210-6360

Phone(816) 238-7788

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 29, 2017

✔ NPI 1790294007 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 MO · 2017035200

5001 LAKE AVE, Saint Joseph, MO 64504

Open in Google Maps ↗

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

Mr. Christian Dale Tanner Fnp-c 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 ID1658647334

PECOS Enrollment IDI20171024003407

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 64504 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.

Other Providers at the Same Location NPPES 9

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

BRITTANY SHEA MCCAN FNP-BC

Nurse Practitioner (Primary Care)