MRS. TARA HILMANOWSKI
NPI 1164825469
Nurse Practitioner - Family in Appleton, WI
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
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Tara Hilmanowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Menasha, WI 54952
- Reassigned Medicare billing, Wisconsin enrollment
- 988 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
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, WIPhysician 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.
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.
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.
Which organization bills Medicare for Tara Hilmanowski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Hilmanowski reassigns Medicare benefits to Thedacare, Incorporated (Menasha, WI). 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 Hilmanowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tara Hilmanowski accept?
Health plans from Anthem Blue Cross and Blue Shield and 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.
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.
# Mrs. Tara Hilmanowski · NPI 1164825469
Family physician in Appleton, Wisconsin. Individual provider, active in the CMS NPPES registry since September 30, 2014.
## Identity
- **NPI:** 1164825469 (Entity type: Individual)
- **Enumerated:** September 30, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 6366 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3925 N GATEWAY DR, Appleton, WI 54913-7863
- **Phone:** (920) 830-6877 · **Fax:** (920) 993-5037
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Thedacare, Incorporated (NPI 1306959515, Menasha, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1164825469) · Data from the CMS NPPES public registry.