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TARA L. SPISAK RD, LD, CDE
NPI 1134433618
Dietitian, Registered in Archbold, OH

Active since July 27, 2010
121 WESTFIELD DR STE 1, ARCHBOLD, OH 43502(419) 445-2015(419) 445-8102 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tara L. Spisak Rd, Ld, Cde NPPES

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

TARA L. SPISAK RD, LD, CDE (NPI 1134433618) is an individual dietitian, registered in Archbold, Ohio, licensed in Ohio (LD.4906) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1134433618
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameTARA L. SPISAKCredential: RD, LD, CDE
Location Address121 WESTFIELD DR STE 1Archbold, OH 43502-1005
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(419) 445-2015
Fax(419) 445-8102
Sole ProprietorNo
Enumeration DateJuly 27, 2010
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1134433618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in OH · LD.4906
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
121 WESTFIELD DR STE 1, Archbold, OH 43502
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara L. Spisak Rd, Ld, Cde is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Midwest Community Health Associates, Inc.
13 mi
Family Medicine
442 W HIGH ST
Bryan, OH 43506
  • Reassigned Medicare billing, Ohio enrollment
  • 133 clinicians in this Medicare group
NPI 1619915170 (419) 636-4517

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

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.

MRS. ANDREA MARIE MILLER R.D., L.D.
Dietitian, Registered
121 WESTFIELD DR STE 1
ARCHBOLD, OH 43502
Fulton County (419) 445-2015
ERIC J LEHMAN M.D.
Family Medicine
121 WESTFIELD DR STE 1
ARCHBOLD, OH 43502
Fulton County (419) 445-2015
TAMARA MARTIN
Nurse Practitioner
121 WESTFIELD DR STE 1
ARCHBOLD, OH 43502
Fulton County (419) 445-2015
DR. RONALD E MUSIC M.D.
Family Medicine
121 WESTFIELD DR STE 1
ARCHBOLD, OH 43502
Fulton County (419) 445-2015
RICK L YODER MD
Family Medicine
121 WESTFIELD DR STE 1
ARCHBOLD, OH 43502
Fulton County (419) 445-2015
DENISE NOFZIGER
Nurse Practitioner (Family)
121 WESTFIELD DR STE 1
ARCHBOLD, OH 43502
Fulton County (419) 445-2015
CAITLIN ROTH CNP
Nurse Practitioner
121 WESTFIELD DR STE 1
ARCHBOLD, OH 43502
Fulton County (419) 445-2015
KAYLA MARIE KIMBLE PA-C
Physician Assistant
121 WESTFIELD DR STE 1
ARCHBOLD, OH 43502
Fulton County (419) 445-2015

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 Spisak's NPI number?

The NPI number for Tara Spisak is 1134433618. It was assigned to this individual provider in the NPPES registry on July 27, 2010.

Where is Tara Spisak located?

Tara Spisak practices at 121 Westfield Dr Ste 1, Archbold, OH 43502. The listed phone number is (419) 445-2015.

What is Tara Spisak's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Tara Spisak enrolled in Medicare?

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

Which organization bills Medicare for Tara Spisak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Spisak reassigns Medicare benefits to Midwest Community Health Associates, Inc. (Bryan, OH). 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 Tara Spisak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tara Spisak accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and Paramount list Tara Spisak 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 Tara Spisak was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.