Individual provider Active NPI

Tamara Lister

  • Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1649116773
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-85756 Issued in KS
Practice address
929 SW Mulvane St
Topeka, KS 66606-1677
Phone
(785) 270-8625
Fax
(785) 270-8624
NPI assigned
Apr 29, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 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 53-85756 KS Primary

Addresses

Primary practice location

929 SW Mulvane St
Topeka, KS 66606-1677

Mailing address

929 SW Mulvane St
Topeka, KS 66606-1677
Phone (785) 270-8625

Other practice location 1

1500 SW 10th Ave
Topeka, KS 66604-1301
Phone (785) 354-6000

Other names 1

  • Tamara Pendleton Millsaps Former name

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
I20260624000534 KS Practitioner - Nurse Practitioner 9335612159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

901 SW Garfield Ave
Topeka, KS 66606-1670
Phone (785) 354-9591

909 SW Mulvane St
Topeka, KS 66606-1677
Phone (785) 270-4613

929 SW Mulvane St
Topeka, KS 66606-1677
Phone (785) 354-6242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13-117794KSMDRegistered Nurse

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1649116773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 SW MULVANE ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061677",
            "telephone_number": "785-270-8625",
            "fax_number": "785-270-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 SW MULVANE ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061677",
            "telephone_number": "785-270-8625",
            "fax_number": "785-270-8624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 SW 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666041301",
            "country_code": "US",
            "telephone_number": "785-354-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LISTER",
        "first_name": "TAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-85756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "PENDLETON MILLSAPS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.