Individual provider Active NPI

Tara Lynn McColl, FNP

  • Nurse Practitioner
  • Cooperstown, NY
National Provider Identifier
1952143208
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F354244 Issued in NY
Practice address
1 Atwell Rd
Cooperstown, NY 13326-1394
Phone
(518) 234-2555
Fax
(518) 234-3415
NPI assigned
Jun 8, 2024
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 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 F354244 NY Primary

Addresses

Primary practice location

1 Atwell Rd
Cooperstown, NY 13326-1394

Mailing address

1 Atwell Rd
Cooperstown, NY 13326-1394
Phone (607) 547-6366

Other names 1

  • Mrs. Tara Lynn Vannostrand Former name

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
I20250206001956 NY Practitioner - Nurse Practitioner 9931639994 Reassigns benefits to 2 organizations

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
Carondelet Regional Medical PCGroup PAC ID 0840554051, 16 clinicians

Practice addresses (Care Compare)

119 Holland Circle Dr
Unit C
Amsterdam, NY 12010-7550
Phone (518) 843-6914

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F354244NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Mar 3, 2025 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Mar 3, 2025 Accepting new patients
Carondelet Regional Medical, PC Nurse Practitioner CurrentSince Apr 4, 2025 Accepting new patients

Locations

119 Holland Circle Dr
Amsterdam, NY 12010
Phone (518) 843-4522

119 Holland Circle Dr
Unit C
Amsterdam, NY 12010
Phone (518) 843-6914

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

136 Parkway Dr
Cobleskill, NY 12043
Phone (518) 234-2555

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

Interoperability endpoints

  • Direct secure messaging: tmccoll@amstfp.medentdirect.com

Organizations & group practices 3

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 1

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": "1717804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1952143208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261394",
            "telephone_number": "607-547-6366",
            "fax_number": "607-547-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261394",
            "telephone_number": "518-234-2555",
            "fax_number": "518-234-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLL",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-08",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F354244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "VANNOSTRAND",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cooperstown, NY

Sources for this page

Verify at the official NPI Registry.