NPIMap

Individual provider Active NPI

Tammy Brewer, FNP-C

  • Family Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1124417548
Registry record updated Sep 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
76671 Issued in KS
Practice address
3417 S Meridian Ave
Wichita, KS 67217-2151
Phone
(316) 866-2000
Fax
(316) 866-2084
NPI assigned
Jan 22, 2015
Last updated
Sep 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 76671 KS Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151023001594 KS Practitioner - Nurse Practitioner 0042538167 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Medical II LLCGroup PAC ID 4284175589, 13 clinicians

Practice addresses (Care Compare)

345 N Riverview St
Suite 412
Wichita, KS 67203-4202
Phone (316) 616-1055

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
76671KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC KS III LLC CurrentSince Aug 18, 2025 Accepting new patients
Mobile Medical II, LLC CurrentSince Mar 10, 2025 Accepting new patients
Ennoble HC KS II LLC CurrentSince Nov 5, 2025 Accepting new patients
Mobile Medical, LLC Family Past Accepting new patients

Locations

345 N Riverview St
Ste 412
Wichita, KS 67203
Phone (316) 223-4466

345 N Riverview St
Ste 500
Wichita, KS 67203
Phone (316) 616-1055

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

Organizations & group practices 5

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

Hospital & facility affiliations 8

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": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757721600000",
    "number": "1124417548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N RIVERVIEW ST STE 412",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034202",
            "telephone_number": "551-295-8223",
            "fax_number": "316-866-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 S MERIDIAN AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672172151",
            "telephone_number": "316-866-2000",
            "fax_number": "316-866-2084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E Douglas Ave Fl 2nd",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672023515",
            "country_code": "US",
            "telephone_number": "551-295-8223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 N Riverview St Ste 412",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672034202",
            "country_code": "US",
            "telephone_number": "551-295-8223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWER",
        "first_name": "TAMMY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "76671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.