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TARA GANN NP
NPI 1043691520
Nurse Practitioner - Primary Care in Payson, AZ

Active since June 10, 2015PECOS Enrolled
405 W MAIN ST STE B, PAYSON, AZ 85541(928) 472-6000(844) 752-8246 Get Directions Write a Review

NPPES record last updated: September 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2019, Feb 7, 2019 (2 updates tracked since 2019).

About Tara Gann Np NPPES

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

TARA GANN NP (NPI 1043691520) is an individual primary care provider in Payson, Arizona, licensed in Arizona (AP7879) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043691520
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameTARA GANNCredential: NP
Location Address405 W MAIN ST STE BPayson, AZ 85541-5345
Mailing Address1503 W Country Club DrPayson, AZ 85541-4611 · (928) 951-2189
Phone(928) 472-6000
Fax(844) 752-8246
Sole ProprietorYes
Enumeration DateJune 10, 2015
Last NPPES UpdateSeptember 13, 20192 updates tracked since enumeration
✔ NPI 1043691520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in AZ · AP7879
405 W MAIN ST STE B, Payson, AZ 85541
Open in Google Maps ↗

Other Names 1

Former Name (1)Tara Dalhaug

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Gann Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85541 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers33 claims33 services$104.74 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers28 claims46 services$38.15 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers22 claims62 services$24.72 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
1 supplier11 claims11 services$67.74 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers32 claims32 services$22.15 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers43 claims43 services$19.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

TARA GANN DNP
Nurse Practitioner (Primary Care)
405 W MAIN ST STE B
PAYSON, AZ 85541
Gila County (928) 472-6000

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 Gann's NPI number?

The NPI number for Tara Gann is 1043691520. It was assigned to this individual provider in the NPPES registry on June 10, 2015. The provider is also known as Tara Dalhaug.

Where is Tara Gann located?

Tara Gann practices at 405 W Main St Ste B, Payson, AZ 85541. The listed phone number is (928) 472-6000.

What is Tara Gann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Tara Gann enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tara Gann was last updated on September 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.