Tabetha Christy Patrow, MNS, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

8407-33 Issued in WI

Practice address

4109 Oakwood Hills Parkway
Eau Claire, WI 54701-8888

Phone

(715) 552-7303

Fax

(715) 552-7355

NPI assigned

May 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Tabetha Christy Kovalaske Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eau Claire Gi Associates SCGroup PAC ID 0244232502, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chippewa Valley Hospital Hospital, Durand, WI, CCN 521307
• Aspirus Stanley Hospital Hospital, Stanley, WI, CCN 521311
• Mayo Clinic Health System Eau Claire Hospital Hospital, Eau Claire, WI, CCN 520070

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tpatrow29608@oakleafmed.gardenplot.direct-ci.com

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.

• Eau Claire Gi Associates SC

  • Specialist
  • Eau Claire, WI
  • NPI 1912078718
  Medicare reassignment Care Compare group NPD

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

• Aspirus Stanley Hospital & Clinics, Inc

  • Community/Retail Pharmacy
  • Stanley, WI
  • NPI 1578272266

  Hospital

  Care Compare affiliation
• Aspirus Stanley Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Stanley, WI
  • NPI 1053391730
  Care Compare affiliation
• Chippewa Valley Hospital & Oakview Care Center Inc.

  • Emergency Medicine Physician
  • Durand, WI
  • NPI 1659471068

  Hospital

  Care Compare affiliation
• Chippewa Valley Hospital & Oakview Care Center, Inc.

  • Critical Access Hospital
  • Durand, WI
  • NPI 1194737817
  Care Compare affiliation
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.

  • General Acute Care Hospital
  • Eau Claire, WI
  • NPI 1629027578
  Care Compare affiliation

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1881184091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 OAKWOOD HILLS PARKWAY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018888",
            "telephone_number": "715-552-7303",
            "fax_number": "715-552-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 OAKWOOD HILLS PARKWAY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018888",
            "telephone_number": "715-552-7303",
            "fax_number": "715-552-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATROW",
        "first_name": "TABETHA",
        "middle_name": "CHRISTY",
        "name_prefix": "Mrs.",
        "credential": "MNS, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8407-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpatrow150893@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3940 Oakwood Hills Pkwy Ste 2",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547018888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TABETHA",
            "last_name": "KOVALASKE",
            "middle_name": "CHRISTY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Morris Pasternack Jr., MD
• Raymond Patchet, D.D.S.
• Pathology Service Corporation
• Vishnu Vardhan R Patlolla, M.D.
• Patricia Baker LLC
• Kevin G Patterson, D.C.
• Emma R Pattison
• Brian N Pauley, MD
• Alex Reil Paulsen, MD
• Nicholas Paulseth, PTA

• Nurse Practitioner in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.