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TARA LYNN SHAFER FNP
NPI 1053922641
Nurse Practitioner - Family in San Pedro, CA

Active since August 16, 2020PECOS EnrolledAccepts Medicare Assignment
1350 W 6TH ST STE 200, SAN PEDRO, CA 90732(310) 832-0686 Get Directions Write a Review

NPPES record last updated: August 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tara Lynn Shafer Fnp NPPES

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

TARA LYNN SHAFER FNP (NPI 1053922641) is an individual family provider in San Pedro, California, licensed in California (95015152) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053922641
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTARA LYNN SHAFERCredential: FNP
Location Address1350 W 6TH ST STE 200San Pedro, CA 90732-3508
Mailing Address310 N Catalina Ave Unit BRedondo Beach, CA 90277-2830 · (410) 916-8483
Phone(310) 832-0686
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 16, 2020
NPPES CertifiedAugust 16, 2020
✔ NPI 1053922641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95015152
1350 W 6TH ST STE 200, San Pedro, CA 90732
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tara Lynn Shafer Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830502558
PECOS Enrollment IDI20210119001214
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 5

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.

Therapy procedure using ultraviolet radiation with tar or petroleum jelly application 96910
This therapy involves applying tar or petroleum jelly on the skin, followed by exposure to ultraviolet radiation. It helps in treating skin conditions by slowing cell growth and reducing inflammation. It's a safe, controlled process, often used for conditions like psoriasis.
517 services34 patients
Treatment of inflammatory skin disease using laser, 250.0-500.0 sq cm 96921
This treatment involves using laser technology to target and reduce inflammation in skin diseases over a large area (250.0-500.0 sq cm). The laser's energy can help manage symptoms and improve skin appearance, offering a non-invasive option for skin disease treatment.
150 services15 patients
Treatment of inflammatory skin disease using laser, more than 500.0 sq cm 96922
This treatment involves using laser technology to manage inflammatory skin conditions over a large area (more than 500.0 sq cm). The laser targets and treats the disease, reducing inflammation and promoting skin healing. This is a safe, non-invasive procedure.
121 services14 patients
Treatment of inflammatory skin disease using laser, less than 250.0 sq cm 96920
This treatment involves using laser technology to target and reduce inflammation in skin diseases. It's suitable for treating areas less than 250.0 sq cm. The laser light helps to minimize inflammation, promoting healing in the affected area.
111 services13 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90732 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Shafer's NPI number?

The NPI number for Tara Shafer is 1053922641. It was assigned to this individual provider in the NPPES registry on August 16, 2020.

Where is Tara Shafer located?

Tara Shafer practices at 1350 W 6th St Ste 200, San Pedro, CA 90732. The listed phone number is (310) 832-0686.

What is Tara Shafer's specialty?

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

Is Tara Shafer enrolled in Medicare?

Yes. Tara Shafer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tara Shafer was last updated on August 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.