Tara M Nardacci, N.P.
Individual provider Active NPI Family Nurse Practitioner · Stanley, ND
NPI 1972734499 · NPPES record last updated Jun 4, 2024
Key facts
- NPI
- 1972734499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R35620 (ND)
- Practice address
- 615 6TH St SE
Stanley, ND 58784-4444 - Phone
- (701) 628-2424
- Fax
- (701) 628-3990
- NPI assigned
- Jul 31, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountrail County Medical Center Inc
Practice addresses (Care Compare)
615 6TH St SE
Stanley, ND 58784-4444
Phone (701) 628-2505
Hospital & facility affiliations
- Mountrail County Medical Center Inc
- Trinity Hospitals
- Mountrail County Medical Center Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.32 of 100
- Quality
- 71.89
- Promoting interoperability
- 100
- Improvement activities
- 40
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 |
|---|---|---|---|---|
| I20101020000472 | ND | Practitioner - Nurse Practitioner | 7214077148 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP928A | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital of Valley City | Current |
Accepting new patients | |
| Mercy Hospital | Current |
Accepting new patients | |
| Lisbon Area Health Services | Current |
Accepting new patients | |
| Lisbon Area Health Services | Current |
Accepting new patients | |
| Mercy Hospital of Valley City | Current | Accepting new patients | |
| Mountrail County Medical Center, Inc. | Current |
Accepting new patients | |
| Mountrail County Medical Center, Inc. | Current | Accepting new patients | |
| Lisbon Area Health Services | Current | Accepting new patients | |
| Mercy Hospital of Devils Lake | Past | Accepting new patients |
Locations
3265 Solutions Ctr
Chicago, IL 60677
3276 Solutions Ctr
Chicago, IL 60677
570 Chautauqua Blvd
Valley City, ND 58072
Phone (701) 845-0440
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP928A | ID | |
| Family Nurse Practitioner | 363LF0000X | R35620 | ND | Yes |
Addresses
Primary practice location
615 6TH St SE
Stanley, ND 58784-4444
Mailing address
PO Box 399
Stanley, ND 58784-0399
Phone (701) 628-2424
Other providers in Stanley, ND
- Mountrail County Medical Center, Inc.
- Mountrail County Medical Center, Inc.
- Mountrail County Medical Center, Inc.
- Mountrail County Social Services
- Zachary Mravec
- Heidi Lynn Nielsen
- North Kin Chiropractic PLLC
- Northern Home Care
- Opportunity Foundation Inc
- Opportunity Foundation Inc
All providers in Stanley, ND · Family Nurse Practitioner 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 Jun 4, 2024. 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.