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MS. JOHANNA D TARALLO ANP
NPI 1164561536
Nurse Practitioner - Psychiatric/Mental Health in Syracuse, NY

Active since February 05, 2007PECOS Enrolled
4914 W SENECA TPKE, SYRACUSE, NY 13215(315) 468-2827(315) 469-1742 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Johanna D Tarallo Anp NPPES

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

MS. JOHANNA D TARALLO ANP (NPI 1164561536) is an individual psychiatric/mental health provider in Syracuse, New York, licensed in New York (F301648) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164561536
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. JOHANNA D TARALLOCredential: ANP
Location Address4914 W SENECA TPKESyracuse, NY 13215-2225
Mailing Address1210 Euclid AveSyracuse, NY 13210-2610 · (315) 474-2439 · Fax (315) 469-1742
Phone(315) 468-2827
Fax(315) 469-1742
Sole ProprietorYes
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164561536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F301648
4914 W SENECA TPKE, Syracuse, NY 13215
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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 (PECOS)

Ms. Johanna D Tarallo Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13215 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES

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

DR. ROGER G LEVINE MD
Psychiatry & Neurology (Psychiatry)
4914 W SENECA TPKE
SYRACUSE, NY 13215
Onondaga County (315) 469-2827

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 Johanna Tarallo's NPI number?

The NPI number for Johanna Tarallo is 1164561536. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Johanna Tarallo located?

Johanna Tarallo practices at 4914 W Seneca Tpke, Syracuse, NY 13215. The listed phone number is (315) 468-2827.

What is Johanna Tarallo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Johanna Tarallo enrolled in Medicare?

Yes. Johanna Tarallo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johanna Tarallo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.