Individual provider Active NPI

Tanya Christine Runnebaum, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1073243713
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-81160 Issued in KS
Practice address
2909 SE Walnut Dr
Topeka, KS 66605-2189
Phone
(785) 267-0744
Fax
(785) 266-3490
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-81160 KS Primary

Addresses

Primary practice location

2909 SE Walnut Dr
Topeka, KS 66605-2189

Mailing address

2909 SE Walnut Dr
Topeka, KS 66605-2189
Phone (785) 267-0744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220719000376 KS Practitioner - Nurse Practitioner 7113308446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2909 SE Walnut Dr
Topeka, KS 66605-2189
Phone (785) 267-0744

Hospital & facility affiliations

  • Elara Caring Home health agency, Topeka, KS, CCN 177242
  • Enhabit Home Health Home health agency, Topeka, KS, CCN 178069
  • Stormont Vail Hospital Hospital, Topeka, KS, CCN 170086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
53-81160KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jul 13, 2022 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Jul 13, 2022 Accepting new patients

Locations

2909 SE Walnut Dr
Topeka, KS 66605
Phone (785) 267-0744

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

901 SW Garfield Ave
Topeka, KS 66606

Interoperability endpoints

  • Direct secure messaging: tbeninga31836@stormontvaildirect.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1073243713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 SE WALNUT DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052189",
            "telephone_number": "785-267-0744",
            "fax_number": "785-266-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 SE WALNUT DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052189",
            "telephone_number": "785-267-0744",
            "fax_number": "785-266-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNNEBAUM",
        "first_name": "TANYA",
        "middle_name": "CHRISTINE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-81160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.