Active NPI
Tarra J Waltmire, APRN, FNP-BC
- Family Nurse Practitioner
- Van Wert, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0034316
- Practice address
- 111 E. Main St.
Suite 205
Van Wert, OH 45891 - Phone
- (419) 210-5251
- Fax
- (970) 238-8454
- NPI assigned
- Oct 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71015439A | IN | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0034316 | OH | Primary |
Addresses
Primary practice location
111 E. Main St.
Suite 205
Van Wert, OH 45891
Mailing address
933 McKinley St
Van Wert, OH 45891-1044
Phone (419) 203-9939
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Ohio Medical University, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
111 E Main St
Suite 205
Van Wert, OH 45891-1735
Phone (419) 210-5251
933 McKinley St
Van Wert, OH 45891-1044
Phone (419) 203-9939
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71015439A | IN | MD | Family Nurse Practitioner |
| APRN.CNP.0034316 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allcare Health & Healing LLC | Current | Accepting new patients | |
| Nephrology Associates of Northern Indiana, Inc | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
120 W 22nd St
Oak Brook, IL 60523
11104 Parkview Circle Dr
Ste 330
Fort Wayne, IN 46845
569 Tyler St
Gary, IN 46402
Phone (260) 885-3300
90 W 86th Ave
Merrillville, IN 46410
Phone (219) 791-1555
111 E Main St
Ste 205
Van Wert, OH 45891
Phone (419) 210-5251
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Van Wert, OH
- NPI 1598543845
-
- Nephrology Physician
- Fort Wayne, IN
- NPI 1578505814
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780099200000",
"number": "1407108764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 MCKINLEY ST",
"city": "VAN WERT",
"state": "OH",
"postal_code": "458911044",
"telephone_number": "419-203-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E. MAIN ST.",
"address_2": "SUITE 205",
"city": "VAN WERT",
"state": "OH",
"postal_code": "45891",
"telephone_number": "419-210-5251",
"fax_number": "970-238-8454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTMIRE",
"first_name": "TARRA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-11",
"last_updated": "2026-05-30",
"certification_date": "2026-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71015439A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0034316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Wert, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; 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.