NPIMap

Individual provider Active NPI

Tabatha Renee Luneau, PA-C

  • Physician Assistant
  • Springfield, MO
National Provider Identifier
1881936797
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2013008754 Issued in MO
Practice address
2115 S Fremont Ave
Suite 5000
Springfield, MO 65804-2239
Phone
(417) 820-3960
Fax
(417) 820-3966
NPI assigned
Mar 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-617 AR
Physician Assistant 363A00000X 2013008754 MO Primary

Addresses

Primary practice location

2115 S Fremont Ave
Suite 5000
Springfield, MO 65804-2239

Mailing address

PO Box 802843
Kansas City, MO 64180-2843

Other practice location 1

3800 S National Ave Ste 160
Springfield, MO 65807-5228
Phone (417) 875-3000

Other practice location 2

1245 N Butterfield Rd Ste C2
Bolivar, MO 65613
Phone (000) 000-0000

Other practice location 3

620 N Main St
Harrison, AR 72601-2911
Phone (870) 414-4076

Other practice location 4

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone (417) 256-9111

Other identifiers 1

IdentifierTypeStateIssuer
431560263OtherMOTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20130617000672 MO Practitioner - Physician Assistant 5597904862 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians

Practice addresses (Care Compare)

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2600

3800 S National Ave
Suite 400
Springfield, MO 65807-5272
Phone (417) 875-3000

Hospital & facility affiliations

  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065
  • Cox Medical Center Branson Hospital, Branson, MO, CCN 260094
  • Mercy Hospital Lebanon Hospital, Lebanon, MO, CCN 260059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-617ARMDPhysician Assistant
2013008754MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Aug 1, 2025 Accepting new patients
Ozarks Medical Center CurrentSince Jan 10, 2018 Accepting new patients
Skaggs Community Hospital Association CurrentSince Oct 1, 2017 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Aug 1, 2025 Accepting new patients
Mercy Clinic-Springfield Communities CurrentSince Nov 18, 2025 Accepting new patients
Lester E Cox Medical Centers CurrentSince Mar 1, 2024 Accepting new patients
Lester E Cox Medical Centers CurrentSince Nov 20, 2023 Accepting new patients
Mercy Hospital Springfield CurrentSince Jun 1, 2025 Accepting new patients
Lester E Cox Medical Centers CurrentSince Mar 1, 2024 Accepting new patients
Mercy Hospital Springfield CurrentSince Jun 1, 2025 Accepting new patients
Skaggs Community Hospital Association CurrentSince Oct 1, 2017 Accepting new patients
Mercy Hospital Lebanon CurrentSince Mar 18, 2019 Accepting new patients
Mercy Hospital Lebanon CurrentSince Mar 18, 2019 Accepting new patients
Ozarks Medical Center CurrentSince Jan 10, 2018 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients

Locations

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

3800 S National Ave
Ste 160
Springfield, MO 65807
Phone (417) 875-2624

3805 S Kansas Expy
Ste B
Springfield, MO 65807
Phone (417) 269-0269

3800 S National Ave
Ste 400
Springfield, MO 65807
Phone (417) 269-9482

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

2115 S Fremont Ave
Ste 5000
Springfield, MO 65804
Phone (417) 820-3912

1000 E Primrose St
Ste 360
Springfield, MO 65807
Phone (417) 269-4037

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 12

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": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1881936797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 S FREMONT AVE",
            "address_2": "SUITE 5000",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042239",
            "telephone_number": "417-820-3960",
            "fax_number": "417-820-3966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 S National Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075228",
            "country_code": "US",
            "telephone_number": "417-875-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1245 N Butterfield Rd Ste C2",
            "address_purpose": "LOCATION",
            "city": "Bolivar",
            "state": "MO",
            "postal_code": "65613",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 N Main St",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "AR",
            "postal_code": "726012911",
            "country_code": "US",
            "telephone_number": "870-414-4076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 N Kentucky Ave",
            "address_purpose": "LOCATION",
            "city": "West Plains",
            "state": "MO",
            "postal_code": "657752029",
            "country_code": "US",
            "telephone_number": "417-256-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNEAU",
        "first_name": "TABATHA",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-617",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2013008754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "431560263",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.