TARA LEE NIMTZ
NPI 1104437631
Nurse Practitioner in La Porte, IN

Active since August 10, 2020PECOS EnrolledAccepts Medicare Assignment
400 TEEGARDEN ST, LA PORTE, IN 46350(219) 326-0043(219) 326-8909 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2020, Aug 10, 2020 (2 updates tracked since 2020).

About Tara Lee Nimtz NPPES

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

TARA LEE NIMTZ (NPI 1104437631) is an individual nurse practitioner in La Porte, Indiana, licensed in Indiana (71010414A) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Northwest Health-la Porte, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104437631
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTARA LEE NIMTZ
Location Address400 TEEGARDEN STLa Porte, IN 46350-3175
Mailing Address400 Teegarden StLa Porte, IN 46350-3175 · (219) 326-0043 · Fax (219) 326-8909
Fax(219) 326-8909
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 10, 2020
Last NPPES UpdateFebruary 12, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
NPI 1104437631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · 71010414A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 28155899A (IN)
400 TEEGARDEN ST, La Porte, IN 46350

Accepted Insurance

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 Lee Nimtz 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 ID3274953310
PECOS Enrollment IDI20201012001646
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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
37 services16 patients

Hospital Affiliations CMS Care Compare

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

Northwest Health-La Porte

Acute Care Hospitals · La Porte, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150006
Location1331 State StreetLa Porte, IN 46350 · La Porte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46350 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier18 claims18 services$7.20 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 9

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

Dentist
400 TEEGARDEN ST
LA PORTE, IN 46350
Nurse Practitioner
400 TEEGARDEN ST
LA PORTE, IN 46350
Dentist
400 TEEGARDEN ST
LA PORTE, IN 46350
Clinic/Center (Community Health)
400 TEEGARDEN ST
LA PORTE, IN 46350
Social Worker (Clinical)
400 TEEGARDEN ST
LA PORTE, IN 46350
Clinic/Center (Federally Qualified Health Center (FQHC))
400 TEEGARDEN ST
LA PORTE, IN 46350
Nurse Practitioner (Family)
400 TEEGARDEN ST, SUITE B
LA PORTE, IN 46350
Dentist (Dental Public Health)
400 TEEGARDEN ST
LA PORTE, IN 46350

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 Nimtz's NPI number?

The NPI number for Tara Nimtz is 1104437631. It was assigned to this individual provider in the NPPES registry on August 10, 2020.

Where is Tara Nimtz located?

Tara Nimtz practices at 400 Teegarden St, La Porte, IN 46350. The listed phone number is (219) 326-0043.

What is Tara Nimtz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tara Nimtz enrolled in Medicare?

Yes. Tara Nimtz 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.

What insurance does Tara Nimtz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Tara Nimtz 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.

Is Tara Nimtz affiliated with any hospitals?

According to CMS data, Tara Nimtz is affiliated with Northwest Health-La Porte.

When was this NPI record last updated?

The NPPES record for Tara Nimtz was last updated on February 12, 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.