NPIMap

Individual provider Active NPI

Tarah D Wafzig, APRN-NP

  • Nurse Practitioner
  • Shepherdsville, KY
National Provider Identifier
1124420237
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3008895 Issued in KY
Practice address
187 Adam Shepherd Pkwy Ste 5
Shepherdsville, KY 40165-7500
Phone
(502) 543-4119
Fax
(502) 543-1462
NPI assigned
Sep 19, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Hospital & facility affiliations 24

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

View all 24

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Louisville Physicians Inc 1,438 clinicians

Practice addresses (Care Compare)

215 Central Ave
Suite 100
Louisville, KY 40208-1450
Phone (502) 588-8720

Hospital & facility affiliations

  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040
  • CHI Saint Joseph Flaget Memorial Hospital Hospital, Bardstown, KY, CCN 180025
  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20141118001747 KY Practitioner - Nurse Practitioner 4284856774 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3008895KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Dec 12, 2019 Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Dec 12, 2019 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

2746 Virginia Ave
Louisville, KY 40211
Phone (502) 772-1883

5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226

215 Central Ave
Ste 100
Louisville, KY 40208
Phone (502) 588-8720

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

9409 Shelbyville Rd
Ste 104
Louisville, KY 40222
Phone (502) 588-0740

1707 Cedar Grove Rd
Ste 10
Shepherdsville, KY 40165
Phone (502) 543-3246

187 Adam Shepherd Pkwy
Ste 5
Shepherdsville, KY 40165
Phone (502) 543-4119

Interoperability endpoints

  • Direct secure messaging: twafzig14071@uoflhealth-dm.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3008895 KY Primary

Addresses

NPPES NPI Registry

Primary practice location

187 Adam Shepherd Pkwy Ste 5
Shepherdsville, KY 40165-7500

Mailing address

100 E Liberty St
Suite 800
Louisville, KY 40202-1434
Phone (502) 543-4119

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
7100365350MedicaidKY

Other names 1

NPPES NPI Registry
  • Tarah D Robison Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 21, 2018.

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1124420237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LIBERTY ST",
            "address_2": "SUITE 800",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021434",
            "telephone_number": "502-543-4119",
            "fax_number": "502-543-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 ADAM SHEPHERD PKWY STE 5",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401657500",
            "telephone_number": "502-543-4119",
            "fax_number": "502-543-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAFZIG",
        "first_name": "TARAH",
        "middle_name": "D",
        "credential": "APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100365350",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARAH",
            "last_name": "ROBISON",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shepherdsville, KY

Sources for this page

Verify at the official NPI Registry.