Individual provider Active NPI

Tara Lynn Wisecarver, NP

  • Family Nurse Practitioner
  • Newark, OH
National Provider Identifier
1316612948
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027738 Issued in OH
Practice address
1277 Brittany HLS E
Newark, OH 43055-1622
Phone
(740) 404-6907
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0027738 OH Primary

Addresses

Primary practice location

1277 Brittany HLS E
Newark, OH 43055-1622

Mailing address

1277 Brittany HLS E
Newark, OH 43055-1622
Phone (740) 404-6907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220207001901 OH Practitioner - Nurse Practitioner 0244623619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pure Healthcare LLCGroup PAC ID 1456648989, 21 clinicians

Practice addresses (Care Compare)

7575 Paragon Rd
Dayton, OH 45459-5316
Phone (937) 684-2802

Hospital & facility affiliations

  • Hospice of Central Ohio Hospice, Newark, OH, CCN 361525
  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218

Merit-based Incentive Payment System (MIPS)

Final score
62.04 of 100Reported as group
Quality
29.8
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0027738OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Central Ohio CurrentSince Oct 30, 2021 Accepting new patients
Hospice of Central Ohio CurrentSince Oct 30, 2021 Accepting new patients
Pure Healthcare LLC CurrentSince Jul 1, 2022 Accepting new patients
Lifecare Hospice Past Accepting new patients
The Hospice of Dayton, Inc. PastSince Jul 1, 2022 Accepting new patients

Locations

1109 Eastern Ave
Ashland, OH 44805
Phone (330) 264-4899

7575 Paragon Rd
Dayton, OH 45459
Phone (937) 256-4490

2200 Miami Valley Dr
Dayton, OH 45459
Phone (937) 668-7873

1263 Glen Dr
Millersburg, OH 44654

1263 Glen Dr
#B
Millersburg, OH 44654
Phone (330) 264-4899

716 Commercial Ave SW
New Philadelphia, OH 44663
Phone (330) 343-7605

2269 Cherry Valley Rd SE
#R
Newark, OH 43055
Phone (740) 344-0311

2269 Cherry Valley Rd SE
Newark, OH 43055
Phone (740) 344-0311

1900 Akron Rd
Wooster, OH 44691
Phone (330) 264-4899

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1316612948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 BRITTANY HLS E",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551622",
            "telephone_number": "740-404-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 BRITTANY HLS E",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551622",
            "telephone_number": "740-404-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISECARVER",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.