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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. NELSON PALARPALAR TAMALA JR. FNP-BC
NPI 1043762453
Nurse Practitioner - Psychiatric/Mental Health in Chicago Ridge, IL

Active since November 02, 2016PECOS Enrolled
13.95/100
CMS Quality Rating
10450 SOUTHWEST HWY APT 1K, CHICAGO RIDGE, IL 60415(708) 465-7036 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 21, 2026, Mar 26, 2026, Nov 2, 2016 (3 updates tracked since 2016).

About Mr. Nelson Palarpalar Tamala Jr. Fnp-bc NPPES

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

MR. NELSON PALARPALAR TAMALA JR. FNP-BC (NPI 1043762453) is an individual psychiatric/mental health provider in Chicago Ridge, Illinois, licensed in Illinois (277001972) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043762453
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. NELSON PALARPALAR TAMALA JR.Credential: FNP-BC
Location Address10450 SOUTHWEST HWY APT 1KChicago Ridge, IL 60415-1465
Mailing Address10450 Southwest Hwy Apt 1kChicago Ridge, IL 60415-1465 · (708) 465-7036
Phone(708) 465-7036
Sole ProprietorYes
Enumeration DateNovember 2, 2016
Last NPPES UpdateSeptember 21, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1043762453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 277001972
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 277001972 (IL)
10450 SOUTHWEST HWY APT 1K, Chicago Ridge, IL 60415
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Nelson Palarpalar Tamala Jr. 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.

Medicare Billing Reassignment

Medicare enrollment records show Nelson Tamala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wise Health Professional Corporation
15 mi
Psychiatry
1127 N. OAKLEY AVE, 5TH FLOOR
Chicago, IL 60622
  • Reassigned Medicare billing, Illinois enrollment
  • 14 clinicians in this Medicare group
NPI 1891969903 (773) 989-9868

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,683 services220 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,541 services324 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
184 services107 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
53 services52 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
41 services37 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60415 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

13.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost46.51

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 Nelson Tamala's NPI number?

The NPI number for Nelson Tamala is 1043762453. It was assigned to this individual provider in the NPPES registry on November 2, 2016.

Where is Nelson Tamala located?

Nelson Tamala practices at 10450 Southwest Hwy Apt 1K, Chicago Ridge, IL 60415. The listed phone number is (708) 465-7036.

What is Nelson Tamala's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nelson Tamala enrolled in Medicare?

Yes. Nelson Tamala is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nelson Tamala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nelson Tamala reassigns Medicare benefits to Wise Health Professional Corporation (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nelson Tamala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nelson Tamala accept?

Health plans from UnitedHealthcare list Nelson Tamala as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nelson Tamala was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.