Individual provider Active NPI

Tara Engel, NP

  • Nurse Practitioner
  • Peru, IN
National Provider Identifier
1780363572
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71014112A Issued in IN
Practice address
750 N Broadway
Peru, IN 46970-1027
Phone
(260) 569-2120
Fax
(260) 569-2121
NPI assigned
Jul 18, 2023
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71014112A IN Primary

Addresses

Primary practice location

750 N Broadway
Peru, IN 46970-1027

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address tengel589188@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230725003282 IN Practitioner - Nurse Practitioner 5698136539 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians
Pain Management Group LLCGroup PAC ID 0143453670, 54 clinicians

Practice addresses (Care Compare)

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-2020

1201 Michigan Ave
Suite 70
Logansport, IN 46947-1580
Phone (574) 725-3001

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Group LLC Nurse Practitioner CurrentSince Mar 1, 2024 Accepting new patients
Access Medical Clinic LLC CurrentSince May 8, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 24, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 24, 2023 Accepting new patients
Access Medical Clinic LLC CurrentSince May 8, 2024 Accepting new patients
Parkview Health System Inc Nurse Practitioner CurrentSince Sep 1, 2025 Accepting new patients

Locations

817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590

1641 S US Highway 231
Crawfordsvlle, IN 47933
Phone (765) 307-7146

11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

1201 Michigan Ave
Ste 70
Logansport, IN 46947
Phone 3177067246109

750 N Broadway
Peru, IN 46970
Phone (260) 569-2120

980 N Meridian St
Portland, IN 47371
Phone (260) 703-3312

1808 Sherman Dr
Princeton, IN 47670
Phone (812) 385-3401

Interoperability endpoints

  • Direct secure messaging: tengel589188@direct.parkviewexchange.com

Organizations & group practices 6

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 4

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": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1780363572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N BROADWAY",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469701027",
            "telephone_number": "260-569-2120",
            "fax_number": "260-569-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "TARA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71014112A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tengel589188@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "750 N Broadway",
            "city": "Peru",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469701027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "750 N Broadway",
            "city": "Peru",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469701027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "750 N Broadway",
            "city": "Peru",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469701027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peru, IN

Sources for this page

Verify at the official NPI Registry.