LADY MARGARETTE TAN APN
NPI 1063110369
Nurse Practitioner - Acute Care in Dyer, IN

Active since February 16, 2023PECOS EnrolledAccepts Medicare Assignment
1462 KNIGHTHOOD DR, DYER, IN 46311(508) 542-5129 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 15, 2024, Feb 16, 2023 (2 updates tracked since 2023).

About Lady Margarette Tan Apn NPPES

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

LADY MARGARETTE TAN APN (NPI 1063110369) is an individual acute care provider in Dyer, Indiana, licensed in Illinois (209.023891) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1063110369
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLADY MARGARETTE TANCredential: APN
Location Address1462 KNIGHTHOOD DRDyer, IN 46311-2054
Mailing Address1462 Knighthood DrDyer, IN 46311-2054 · (508) 542-5129
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 16, 2023
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
NPI 1063110369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in IL · 209.023891
1462 KNIGHTHOOD DR, Dyer, IN 46311

Secondary Practice Location 1

Location 15841 S Maryland AveChicago, IL 60637-1443 · Phone (773) 702-1000

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

Lady Margarette Tan Apn 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 ID9335595792
PECOS Enrollment IDI20231023000214
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46311 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 Lady Tan's NPI number?

The NPI number for Lady Tan is 1063110369. It was assigned to this individual provider in the NPPES registry on February 16, 2023.

Where is Lady Tan located?

Lady Tan practices at 1462 Knighthood Dr, Dyer, IN 46311. The listed phone number is (508) 542-5129.

What is Lady Tan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lady Tan enrolled in Medicare?

Yes. Lady Tan 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.

Is Lady Tan affiliated with any hospitals?

According to CMS data, Lady Tan is affiliated with The University Of Chicago Medical Center.

When was this NPI record last updated?

The NPPES record for Lady Tan was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.