Tammy Brewer, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Wichita, KS
NPI 1124417548 · NPPES record last updated Sep 13, 2025
Key facts
- NPI
- 1124417548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 76671 (KS)
- Practice address
- 3417 S Meridian Ave
Wichita, KS 67217-2151 - Phone
- (316) 866-2000
- Fax
- (316) 866-2084
- NPI assigned
- Jan 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mobile Medical II LLC
Practice addresses (Care Compare)
345 N Riverview St
Suite 412
Wichita, KS 67203-4202
Phone (316) 616-1055
Hospital & facility affiliations
- Phoenix Home Care
- Ascension at Home
- Enhabit Home Health
- Interim Healthcare of Wichita
- Ennoble Care
- Ascension Via Christi Hospitals Wichita, Inc.
- Wesley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151023001594 | KS | Practitioner - Nurse Practitioner | 0042538167 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76671 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical II, LLC | Current |
Accepting new patients | |
| Ennoble HC KS III LLC | Current |
Accepting new patients | |
| Ennoble HC KS II LLC | Current |
Accepting new patients | |
| Mobile Medical, LLC | Family | Past | Accepting new patients |
Locations
345 N Riverview St
Ste 500
Wichita, KS 67203
Phone (316) 616-1055
345 N Riverview St
Ste 412
Wichita, KS 67203
Phone (316) 223-4466
801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161
2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 76671 | KS | Yes |
Addresses
Primary practice location
3417 S Meridian Ave
Wichita, KS 67217-2151
Mailing address
345 N Riverview St Ste 412
Wichita, KS 67203-4202
Phone (551) 295-8223
Other practice location 1
801 E Douglas Ave Fl 2nd
Wichita, KS 67202-3515
Phone (551) 295-8223
Other practice location 2
345 N Riverview St Ste 412
Wichita, KS 67203-4202
Phone (551) 295-8223
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201121150C | Medicaid | KS |
Other providers in Wichita, KS
- Deborah Brewer
- Kristi Dawn Brewer
- Michael Thomas Brewer
- Nicholas Matthew Brewer
- Susan Janene Brewer
- Kristina Kay Brewster
- Brian S Mills, PHD., LLC
- Julie Ann Bricker
- Kathryn Watkins Brickman
- Bridges at Home
All providers in Wichita, KS · Family Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.