Individual provider Active NPI

Tara Lorzing-Wilmoth, FNP-BC

  • Family Nurse Practitioner
  • East Greenbush, NY
National Provider Identifier
1639906548
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
354145 Issued in NY
Practice address
PO Box 129
East Greenbush, NY 12061-0129
Phone
(518) 708-9528
NPI assigned
Sep 16, 2024
Last updated
Jun 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 354145 NY Primary
Family Medicine Physician 207Q00000X F354145-01 NY

Addresses

Primary practice location

PO Box 129
East Greenbush, NY 12061-0129

Mailing address

PO Box 129
East Greenbush, NY 12061-0129
Phone (518) 708-9528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250114003205 NY Practitioner - Nurse Practitioner 3274061544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

279 Troy Rd
Rensselaer, NY 12144-9756
Phone (518) 880-6320

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
354145NYMDLicensed Practical Nurse
F354145-01NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York Family Medicine CurrentSince Jan 20, 2025 Accepting new patients
Samaritan Hospital of Troy, New York Family Medicine CurrentSince Jan 20, 2025 Accepting new patients
Samaritan Hospital of Troy, New York Past Accepting new patients
Lorzing-Wilmoth Family Health NP PLLC Family PastSince Sep 1, 2024 Accepting new patients

Locations

279 Troy Rd
Rensselaer, NY 12144
Phone (518) 286-1922

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781308800000",
    "number": "1639906548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120610129",
            "telephone_number": "518-708-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120610129",
            "telephone_number": "518-708-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORZING-WILMOTH",
        "first_name": "TARA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354145",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "F354145-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenbush, NY

Sources for this page

Verify at the official NPI Registry.