Tara M Curtis-Haberlock, PA
Individual provider Active NPI Physician Assistant · Bismarck, ND
NPI 1932205366 · NPPES record last updated Jan 12, 2011
Key facts
- NPI
- 1932205366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PAC0291 (ND)
- Practice address
- 222 N 7TH St
Bismarck, ND 58501-4436 - Phone
- (701) 323-6000
- Fax
- (701) 323-5308
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sanford Bismarck
Practice addresses (Care Compare)
1833 E Bismarck Expressway
Sanford Health Chiropractic
Bismarck, ND 58501-4436
Phone (701) 323-5222
222 N 7TH St
Bismarck, ND 58501-4436
Phone (701) 323-6000
3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300
Hospital & facility affiliations
- Sanford Medical Center Bismarck
- CHI St Alexius Health Dickinson
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.63 of 100
- Quality
- 89.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.04
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031209000916 | ND | Practitioner - Physician Assistant | 6800792045 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Bismarck | Current |
Accepting new patients | |
| Sanford Bismarck | Current |
Accepting new patients | |
| Sanford Bismarck | Current | Accepting new patients | |
| Medcenter One Health Systems DME | Current | Accepting new patients |
Locations
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
300 N 7th St
Bismarck, ND 58501
Phone (701) 323-6153
222 N 7th St
Bismarck, ND 58501
Phone (701) 323-5422
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PAC0291 | ND | Yes |
Addresses
Primary practice location
222 N 7TH St
Bismarck, ND 58501-4436
Mailing address
PO Box 5501
Bismarck, ND 58506-5501
Phone (701) 323-6000
Other providers in Bismarck, ND
- Chardonnay Cunningham
- Courtney Cunningham
- Julia Cunningham
- Brandy Currie
- Jennifer Curry
- Cusa Es. LLC Taxi 9000 Bismarck
- Roberta Cusack
- Mason Thomas Custer
- Custom Endodontics, PC
- D. Michael Goebel D.D.S., PC
All providers in Bismarck, ND · Physician Assistant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.