Active NPI
Tamara Suzanne Zupanc, FNP
- Family Nurse Practitioner
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 13521-33
- Practice address
- 1211 Fish Hatchery Rd
Madison, WI 53715-1909 - Phone
- (608) 252-8000
- Fax
- (608) 252-8233
- NPI assigned
- Jan 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 13521-33 | WI | |
| Family Nurse Practitioner | 363LF0000X | 13521-33 | WI | Primary |
Addresses
Primary practice location
1211 Fish Hatchery Rd
Madison, WI 53715-1909
Mailing address
1211 Fish Hatchery Rd
Madison, WI 53715-1909
Phone (608) 252-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881300580 | Medicaid | WI |
Other names 1
- Tamara Suzanne Capik
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1211 Fish Hatchery Rd
Madison, WI 53715-1909
Phone (608) 252-8000
Hospital & facility affiliations
- SSM Health St Mary'S Hospital - Madison
- Stoughton Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc | Current | Accepting new patients | |
| Dean Health Systems, Inc. | Current | Accepting new patients |
Locations
1211 Fish Hatchery Rd
Madison, WI 53715
Phone (608) 252-8000
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Interoperability endpoints
- tzupanc386359@direct-ehr-ssmhc.com
Organizations & group practices 2
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.
-
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Madison, WI
- NPI 1184621211
-
- Critical Access Hospital
- Stoughton, WI
- NPI 1679558647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1881300580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 FISH HATCHERY RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537151909",
"telephone_number": "608-252-8000",
"fax_number": "608-252-8233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 FISH HATCHERY RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537151909",
"telephone_number": "608-252-8000",
"fax_number": "608-252-8233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUPANC",
"first_name": "TAMARA",
"middle_name": "SUZANNE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-25",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "13521-33",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "13521-33",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881300580",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAMARA",
"last_name": "CAPIK",
"middle_name": "SUZANNE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.