Tara Lee Nimtz

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71010414A Issued in IN

Practice address

400 Teegarden St
La Porte, IN 46350-3175

Phone

(219) 326-0043

Fax

(219) 326-8909

NPI assigned

Aug 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthlinc IncGroup PAC ID 7618929373, 83 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Health-la Porte Hospital, La Porte, IN, CCN 150006

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tara.nimtz@healthlinc.directbygreenway.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.

• Healthlinc, Inc.

  • Federally Qualified Health Center (FQHC)
  • Valparaiso, IN
  • NPI 1528262581

  IN

  Medicare reassignment Care Compare group NPD
• La Porte Clinic Company LLC

  • Internal Medicine Physician
  • Valparaiso, IN
  • NPI 1568829224

  IN

  Medicare reassignment NPD
• Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • La Porte, IN
  • NPI 1538728399
  Care Compare group NPD
• Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • Morocco, IN
  • NPI 1568354116
  Care Compare group NPD
• Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • East Chicago, IN
  • NPI 1063256626
  Care Compare group
• Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • East Chicago, IN
  • NPI 1508433707
  Care Compare group
• Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • La Porte, IN
  • NPI 1538980990
  Care Compare group
• Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • Valparaiso, IN
  • NPI 1578293452
  Care Compare group
• Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • South Bend, IN
  • NPI 1790158244
  Care Compare group
• Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • Knox, IN
  • NPI 1801063268
  Care Compare group
• Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • South Bend, IN
  • NPI 1811465602
  Care Compare group
• Healthlinc, Inc

  • Federally Qualified Health Center (FQHC)
  • South Bend, IN
  • NPI 1972071769
  Care Compare group

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

• La Porte Hospital Company LLC

  • General Acute Care Hospital
  • La Porte, IN
  • NPI 1750746285

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1104437631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TEEGARDEN ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503175",
            "telephone_number": "219-326-0043",
            "fax_number": "219-326-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TEEGARDEN ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503175",
            "telephone_number": "219-326-0043",
            "fax_number": "219-326-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMTZ",
        "first_name": "TARA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "IN",
            "license": "28155899A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010414A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Albert Nelson, MD
• Adrianna K. Neri, MA, LCPC, LMHC
• Nicholas Eugene Neulieb
• Joseph Lee Newberg, MD
• Jessica L Nichols, MS, CCC-A
• Patricia K Nocek
• Beth Liane Noel, LMHC, LCAC
• North Indiana Emergency Physicians, LLP
• Northern Indiana Therapies
• Northshore Health Centers, Inc.

• All providers in La Porte, IN
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.