MS. TAMARA L VANBAALEN LCSW
NPI 1144322777
Social Worker - Clinical in Fort Wayne, IN

Active since September 03, 2006PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
5693 YMCA PARK DR W, FORT WAYNE, IN 46835(260) 425-6500(260) 425-6505 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Tamara L Vanbaalen Lcsw NPPES

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

MS. TAMARA L VANBAALEN LCSW (NPI 1144322777) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (34003564A) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1144322777
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. TAMARA L VANBAALENCredential: LCSW
Location Address5693 YMCA PARK DR WFort Wayne, IN 46835-3280
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 425-6505
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateSeptember 3, 2006
Last NPPES UpdateNovember 16, 2021
NPPES CertifiedNovember 16, 2021
NPI 1144322777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IN · 34003564A
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5693 YMCA PARK DR W, Fort Wayne, IN 46835

Other Identifiers 5

Other000000341875IN · Anthem Bcbs
Other742863000IN · Magellan
Other7733638IN · Aetna
Other030305IN · Mhn
Medicaid200467310AIN

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

Ms. Tamara L Vanbaalen Lcsw 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 ID6507134905
PECOS Enrollment IDI20170607001371
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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
89 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46835 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
$0.00 typical visit price
range $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Other Providers at the Same Location NPPES 15

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

Physician Assistant
5693 YMCA PARK DR W
FORT WAYNE, IN 46835
Family Medicine
5693 YMCA PARK DR W
FORT WAYNE, IN 46835
Family Medicine
5693 YMCA PARK DR W
FORT WAYNE, IN 46835
Family Medicine
5693 YMCA PARK DR W
FORT WAYNE, IN 46835
Nurse Practitioner
5693 YMCA PARK DR W
FORT WAYNE, IN 46835
Pharmacist (Ambulatory Care)
5693 YMCA PARK DR W
FORT WAYNE, IN 46835
Nurse Practitioner (Family)
5693 YMCA PARK DR W
FORT WAYNE, IN 46835
Family Medicine
5693 YMCA PARK DR W
FORT WAYNE, IN 46835

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 Tamara Vanbaalen's NPI number?

The NPI number for Tamara Vanbaalen is 1144322777. It was assigned to this individual provider in the NPPES registry on September 3, 2006.

Where is Tamara Vanbaalen located?

Tamara Vanbaalen practices at 5693 Ymca Park Dr W, Fort Wayne, IN 46835. The listed phone number is (260) 425-6500.

What is Tamara Vanbaalen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tamara Vanbaalen enrolled in Medicare?

Yes. Tamara Vanbaalen 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 Tamara Vanbaalen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Tamara Vanbaalen 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 Tamara Vanbaalen was last updated on November 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.