Tabitha Nyaboke Bosire, CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11296 Issued in MN

Practice address

2150 Hospital Dr
Windom, MN 56101-1287

Phone

(507) 831-2400

Fax

(507) 847-1119

NPI assigned

Nov 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Tabitha Nyaboke Opande Other name

Medicare fee-for-service enrollment

Enrolled in MO, MN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Windom Area Hospital 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Windom Area Health Hospital, Windom, MN, CCN 241332

Merit-based Incentive Payment System (MIPS)

Final score

81.78 of 100Reported as group

Quality

87.49

Promoting interoperability

100

Improvement activities

40

Cost

44.99

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Windom Area Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Windom, MN
  • NPI 1831187509

  MN

  Medicare reassignment Care Compare group NPD
• Windom Area Hospital

  • Critical Access Hospital
  • Windom, MN
  • NPI 1841288644

  MN, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• City of Windom Ambulance

  • Ambulance
  • Windom, MN
  • NPI 1982692141
  NPD
• Windom Area Hospital

  • Hospitalist Physician
  • Windom, MN
  • NPI 1043014079
  NPD

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

• Windom Area Hospital

  • Critical Access Hospital
  • Windom, MN
  • NPI 1841288644

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1083250864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 HOSPITAL DR",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561011287",
            "telephone_number": "507-831-2400",
            "fax_number": "507-847-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 HOSPITAL DR",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561011287",
            "telephone_number": "507-831-2400",
            "fax_number": "507-847-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSIRE",
        "first_name": "TABITHA",
        "middle_name": "NYABOKE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5379573-072",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020019972",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "11296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TABITHA",
            "last_name": "OPANDE",
            "middle_name": "NYABOKE",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Avera McKennan
• Barbara Jo Bennett, MMT, MT-BC
• Stanley Harold Bennett, MD
• Tyler Bennett
• Mitchel Erickson Boeck, DPT
• Karen Lee Brinkman, MS, LP, LPCC
• Stephanie C Buhler, M.D.
• Yvonne M. Callaghan, LMFT
• City of Windom Ambulance
• Kerstin Lynn Cooley, LICSW

• All providers in Windom, MN
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.