Individual provider Active NPI

Nelson Palarpalar Tamala Jr., FNP-BC

  • Family Nurse Practitioner
  • Chicago Ridge, IL
National Provider Identifier
1043762453
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277001972 Issued in IL
Practice address
10450 Southwest Hwy Apt 1K
Chicago Ridge, IL 60415-1465
Phone
(708) 465-7036
NPI assigned
Nov 2, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277001972 IL
Family Nurse Practitioner 363LF0000X 277001972 IL Primary

Addresses

Primary practice location

10450 Southwest Hwy Apt 1K
Chicago Ridge, IL 60415-1465

Mailing address

10450 Southwest Hwy Apt 1K
Chicago Ridge, IL 60415-1465
Phone (708) 465-7036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20170112000123 IL Practitioner - Nurse Practitioner 5698056372 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277001972ILMDFamily Nurse Practitioner

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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
23.76 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.19

NPI Registry JSON

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1043762453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 SOUTHWEST HWY APT 1K",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151465",
            "telephone_number": "708-465-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 SOUTHWEST HWY APT 1K",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151465",
            "telephone_number": "708-465-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMALA",
        "first_name": "NELSON",
        "middle_name": "PALARPALAR",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-02",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277001972",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277001972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Ridge, IL

Sources for this page

Verify at the official NPI Registry.