BRANDON MICHAEL TATAR MSN, APRN, ACCNS-AG
NPI 1003513730
Clinical Nurse Specialist - Acute Care in Warren, MI
About Brandon Michael Tatar Msn, Aprn, Accns-ag NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDON MICHAEL TATAR MSN, APRN, ACCNS-AG (NPI 1003513730) is an individual acute care provider in Warren, Michigan, licensed in Michigan (4704363198) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in New Baltimore, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brandon Michael Tatar Msn, Aprn, Accns-ag is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WARREN, MI 48093
WARREN, MI 48093
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brandon Tatar's NPI number?
The NPI number for Brandon Tatar is 1003513730. It was assigned to this individual provider in the NPPES registry on February 13, 2023.
Where is Brandon Tatar located?
Brandon Tatar practices at 11800 E 12 Mile Rd, Warren, MI 48093. The listed phone number is (586) 854-1108.
What is Brandon Tatar's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Acute Care, with taxonomy code 364SA2100X.
Is Brandon Tatar enrolled in Medicare?
Yes. Brandon Tatar is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Brandon Tatar was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brandon Michael Tatar, MSN, APRN, ACCNS-AG · NPI 1003513730
Acute Care physician in Warren, Michigan. Individual provider, active in the CMS NPPES registry since February 13, 2023.
## Identity
- **NPI:** 1003513730 (Entity type: Individual)
- **Enumerated:** February 13, 2023
- **Primary specialty:** Clinical Nurse Specialist - Acute Care · taxonomy 364SA2100X
- **State license:** 4704363198 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11800 E 12 MILE RD, Warren, MI 48093-3472
- **Phone:** (586) 854-1108
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1003513730) · Data from the CMS NPPES public registry.