Individual provider Active NPI

Tara Lynn Zehmisch, CRNP

  • Neonatal Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1699371385
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
252068 Issued in AZ
Practice address
5375 E Erickson Dr
Tucson, AZ 85712-2838
Phone
(520) 324-5585
NPI assigned
Dec 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP030590 PA
Neonatal Nurse Practitioner 363LN0000X 252068 AZ Primary

Addresses

Primary practice location

5375 E Erickson Dr
Tucson, AZ 85712-2838

Mailing address

2905 Sun Crest Dr
Sierra Vista, AZ 85650-6853
Phone (520) 732-8819

Other practice location 1

500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-6807

Other names 1

  • Tara L Zehmisch Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, PA, OK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230118001150 AZ Practitioner - Nurse Practitioner 2365813953 Reassigns benefits to 3 organizations
I20250312002076 PA Practitioner - Nurse Practitioner 2365813953 Reassigns benefits to 1 organization
I20250429003774 OK Practitioner - Nurse Practitioner 2365813953 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
252068AZMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Healthcare Medical Associates Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients
Ou Health Partners, Inc CurrentSince Mar 10, 2025 Accepting new patients
The Milton S Hershey Medical Center Physcian Group CurrentSince Apr 1, 2025 Accepting new patients
Summit Healthcare Medical Associates CurrentSince Oct 1, 2024 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Apr 1, 2025 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Sierra Vista Regional Health Center Medical Group LLC CurrentSince Dec 1, 2022 Accepting new patients
Ou Health Partners, Inc CurrentSince Mar 10, 2025 Accepting new patients
Summit Healthcare Association Nurse Practitioner CurrentSince Sep 1, 2024 Accepting new patients
RCHP-Sierra Vista Inc Past Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients
Summit Healthcare Association Past Accepting new patients

Locations

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

5700 E Highway 90
Fl 4
Sierra Vista, AZ 85635
Phone (520) 263-3500

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
#41
Hershey, PA 17033
Phone (717) 531-8202

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1699371385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 SUN CREST DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856506853",
            "telephone_number": "520-732-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5375 E ERICKSON DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122838",
            "telephone_number": "520-324-5585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-6807",
            "fax_number": "717-531-4144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEHMISCH",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP030590",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "AZ",
            "license": "252068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "ZEHMISCH",
            "middle_name": "L",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.