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TARA ACCAVALLO FNP-BC
NPI 1013162346
Nurse Practitioner - Family in Commack, NY

Active since December 01, 2008PECOS Enrolled
5036 JERICHO TPKE STE 207, COMMACK, NY 11725(631) 486-8372(631) 486-8374 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tara Accavallo Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA ACCAVALLO FNP-BC (NPI 1013162346) is an individual family provider in Commack, New York, licensed in New York (F353276) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Selden.

NPPES Registry Identity

NPI1013162346
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTARA ACCAVALLOCredential: FNP-BC
Location Address5036 JERICHO TPKE STE 207Commack, NY 11725-2812
Mailing Address14 Clark StSelden, NY 11784-2257 · (631) 846-6594
Phone(631) 486-8372
Fax(631) 486-8374
Sole ProprietorNo
Enumeration DateDecember 1, 2008
Last NPPES UpdateJuly 22, 2024
NPPES CertifiedJuly 22, 2024
✔ NPI 1013162346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F353276
Also ListedRegistered NurseTaxonomy 163W00000X · License 454839 (NY)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License F353276 (NY)
5036 JERICHO TPKE STE 207, Commack, NY 11725
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Secondary Practice Location 1

Location 114 Clark StSelden, NY 11784-2257 · Phone (631) 846-6594

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Accavallo Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11725 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GURWIN HOME CARE AGENCY, INC.
Home Health
5036 JERICHO TPKE STE 207
COMMACK, NY 11725
Suffolk County (631) 493-1282

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 Tara Accavallo's NPI number?

The NPI number for Tara Accavallo is 1013162346. It was assigned to this individual provider in the NPPES registry on December 1, 2008.

Where is Tara Accavallo located?

Tara Accavallo practices at 5036 Jericho Tpke Ste 207, Commack, NY 11725. The listed phone number is (631) 486-8372.

What is Tara Accavallo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tara Accavallo enrolled in Medicare?

Yes. Tara Accavallo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tara Accavallo was last updated on July 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.