MRS. TARA HILMANOWSKI
NPI 1164825469
Nurse Practitioner - Family in Appleton, WI

Active since September 30, 2014PECOS EnrolledAccepts Medicare Assignment
3925 N GATEWAY DR, APPLETON, WI 54913(920) 830-6877(920) 993-5037 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2023, Nov 23, 2022, Oct 19, 2022 and 2 more (5 updates tracked since 2017).

About Mrs. Tara Hilmanowski NPPES

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

MRS. TARA HILMANOWSKI (NPI 1164825469) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (6366) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1164825469
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TARA HILMANOWSKI
Location Address3925 N GATEWAY DRAppleton, WI 54913-7863
Mailing Address3925 N Gateway DrAppleton, WI 54913-7863 · (920) 830-6877 · Fax (920) 993-5037
Fax(920) 993-5037
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 30, 2014
Last NPPES UpdateJanuary 3, 20235 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
NPI 1164825469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 6366
Also ListedNurse PractitionerTaxonomy 363L00000X · License 6366 (WI)
3925 N GATEWAY DR, Appleton, WI 54913

Secondary Practice Location 1

Location 12502 S Ashland AveGreen Bay, WI 54304-5252 · Phone (920) 496-4700

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

Mrs. Tara Hilmanowski 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 ID4789642059
PECOS Enrollment IDI20150611001618
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 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services65 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services44 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
18 services18 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
16 services16 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
15 services15 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Pharmacy (Community/Retail Pharmacy)
3925 N GATEWAY DR, SUITE 100
APPLETON, WI 54913
Family Medicine
3925 N GATEWAY DR
APPLETON, WI 54913
Nurse Practitioner (Family)
3925 N GATEWAY DR
APPLETON, WI 54913
Nurse Practitioner (Family)
3925 N GATEWAY DR
APPLETON, WI 54913
Internal Medicine
3925 N GATEWAY DR
APPLETON, WI 54913
Family Medicine
3925 N GATEWAY DR
APPLETON, WI 54913
Family Medicine
3925 N GATEWAY DR
APPLETON, WI 54913
Nurse Practitioner (Family)
3925 N GATEWAY DR
APPLETON, WI 54913

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 Hilmanowski's NPI number?

The NPI number for Tara Hilmanowski is 1164825469. It was assigned to this individual provider in the NPPES registry on September 30, 2014.

Where is Tara Hilmanowski located?

Tara Hilmanowski practices at 3925 N Gateway Dr, Appleton, WI 54913. The listed phone number is (920) 830-6877.

What is Tara Hilmanowski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tara Hilmanowski enrolled in Medicare?

Yes. Tara Hilmanowski 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 Hilmanowski accept?

Health plans from CareSource (Common Ground Healthcare) list Tara Hilmanowski 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 Hilmanowski affiliated with any hospitals?

According to CMS data, Tara Hilmanowski is affiliated with Thedacare Regional Med Ctr - Neenah and Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Tara Hilmanowski was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.