Individual provider Active NPI

Tamara Lynn Herbener-Kallal, FNP-BC

  • Nurse Practitioner
  • Rifle, CO
National Provider Identifier
1174587216
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0002007-NP Issued in CO
Practice address
501 Airport Rd
Rifle, CO 81650-8510
Phone
(970) 625-6487
NPI assigned
Apr 14, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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 4

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Colorado School of Medicine, Denver, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand River Hospital District 79 clinicians

Practice addresses (Care Compare)

501 Airport Rd
Rifle, CO 81650-8510
Phone (970) 625-6462

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Grand Junction, CO, CCN 067573
  • Grand River Hospital District Hospital, Rifle, CO, CCN 061317
  • Valley View Hospital Association Hospital, Glenwood Springs, CO, CCN 060075

Merit-based Incentive Payment System (MIPS)

Final score
94.89 of 100Reported as apm
Quality
86.88
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20101117000068 CO Practitioner - Nurse Practitioner 1456546456 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0002007-NPCOMDNurse Practitioner
APN.002007-NPCOMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grand River Hospital District CurrentSince Sep 4, 2025 Accepting new patients

Locations

501 Airport Rd
Fl 2
Rifle, CO 81650
Phone (970) 625-1100

501 Airport Rd
Rifle, CO 81650
Phone (970) 625-1100

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APN.002007-NP CO
Nurse Practitioner 363L00000X APN.0002007-NP CO Primary

Addresses

NPPES NPI Registry

Primary practice location

501 Airport Rd
Rifle, CO 81650-8510

Mailing address

501 Airport Rd
Rifle, CO 81650-8510
Phone (970) 625-6487

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
07744238MedicaidCO

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address therbener@qhndirect.org Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 14, 2020.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1174587216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 AIRPORT RD",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816508510",
            "telephone_number": "970-625-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 AIRPORT RD",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816508510",
            "telephone_number": "970-625-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBENER-KALLAL",
        "first_name": "TAMARA",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "APN.002007-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0002007-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07744238",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "therbener@qhndirect.org",
            "affiliation": "N",
            "endpointDescription": "Tamara Herbener-Kallal Grand River Hospital DIRECT Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "501 Airport Rd",
            "city": "Rifle",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816508510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rifle, CO

Sources for this page

Verify at the official NPI Registry.