NPIMap

Individual provider Active NPI

Tara Renae Mertz-Hack, MD

  • Family Medicine Physician
  • Oakes, ND
National Provider Identifier
1245641489
Registry record updated Jun 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MRM-1396 Issued in ID
Practice address
420 S 7TH St
Oakes, ND 58474-2024
Phone
(701) 742-3267
Fax
(701) 742-3201
NPI assigned
May 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MRM-1396 ID Primary

Addresses

Primary practice location

420 S 7TH St
Oakes, ND 58474-2024

Mailing address

9990 Highway 11
Oakes, ND 58474-9171
Phone (702) 210-0140

Other names 1

  • Tara Renae Mertz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20170918003795 ND Practitioner - Family Practice 9234455080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Dakota School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

2400 32ND Ave S
Fargo, ND 58103-5800
Phone (701) 234-2000

420 S 7TH St
Oakes, ND 58474-2024
Phone (701) 742-3267

69 Hwy 13 W
Gwinner, ND 58040-4127
Phone (701) 678-2263

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
70.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions32
Removal of nail tissue1-10
Removal or shaving of skin growth22
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo CurrentSince Jul 1, 2022 Accepting new patients
Sanford Medical Center Fargo Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients
Benedictine Living Communities, Inc. Past Accepting new patients
Four Seasons Healthcare Center Inc Past Accepting new patients
Parkside Home Past Accepting new patients
Benedictine Living Communities Inc Past Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients
Benedictine Living Communities Inc. Past Accepting new patients

Locations

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

69 Highway 13 W
Gwinner, ND 58040
Phone (701) 678-2263

420 S 7th St
Oakes, ND 58474
Phone (701) 742-3267

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Rose Care CenterLamoure, ND, CCN 355107 Skilled nursing facility Operational/Managerial Control Jan 1, 2024
Parkside Lutheran HomeLisbon, ND, CCN 355116 Skilled nursing facility Corporate Officer (5%)
Operational/Managerial Control
Adp of the SNF		 Jul 1, 2024
Jul 1, 2024
Jul 1, 2024
Good Samaritan Society OakesOakes, ND, CCN 355095 Skilled nursing facility Contracted Managing Employee Oct 1, 2023
Prince of Peace Care CenterEllendale, ND, CCN 355048 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2025
Apr 1, 2025

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559347200000",
    "number": "1245641489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9990 HIGHWAY 11",
            "city": "OAKES",
            "state": "ND",
            "postal_code": "584749171",
            "telephone_number": "702-210-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S 7TH ST",
            "city": "OAKES",
            "state": "ND",
            "postal_code": "584742024",
            "telephone_number": "701-742-3267",
            "fax_number": "701-742-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTZ-HACK",
        "first_name": "TARA",
        "middle_name": "RENAE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2019-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MRM-1396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "MERTZ",
            "middle_name": "RENAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakes, ND

Sources for this page

Verify at the official NPI Registry.