MICHELLE TAVARES PMHNP-BC
NPI 1265013312
Nurse Practitioner - Psychiatric/Mental Health in Glens Falls, NY
About Michelle Tavares Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE TAVARES PMHNP-BC (NPI 1265013312) is an individual psychiatric/mental health provider in Glens Falls, New York, licensed in New York (405859) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Ellis Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Michelle Tavares Pmhnp-bc 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 Michelle Tavares reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glens Falls, NY 12804
- Reassigned Medicare billing, New York enrollment
- 7 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ellis Hospital
Acute Care Hospitals · Schenectady, NYGlens Falls Hospital
Acute Care Hospitals · Glens Falls, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12804 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLENS FALLS, NY 12804
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 Michelle Tavares's NPI number?
The NPI number for Michelle Tavares is 1265013312. It was assigned to this individual provider in the NPPES registry on April 20, 2021.
Where is Michelle Tavares located?
Michelle Tavares practices at 37 Everts Ave, Glens Falls, NY 12804. The listed phone number is (518) 793-4700.
What is Michelle Tavares's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Michelle Tavares enrolled in Medicare?
Yes. Michelle Tavares 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 Michelle Tavares's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Tavares reassigns Medicare benefits to Community Work And Independence, Inc. (Glens Falls, NY). 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 Michelle Tavares's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Michelle Tavares affiliated with any hospitals?
According to CMS data, Michelle Tavares is affiliated with Ellis Hospital and Glens Falls Hospital.
When was this NPI record last updated?
The NPPES record for Michelle Tavares was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Michelle Tavares, PMHNP-BC · NPI 1265013312
Psychiatric/Mental Health physician in Glens Falls, New York. Individual provider, active in the CMS NPPES registry since April 20, 2021.
## Identity
- **NPI:** 1265013312 (Entity type: Individual)
- **Enumerated:** April 20, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 405859 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 37 EVERTS AVE, Glens Falls, NY 12804-2040
- **Phone:** (518) 793-4700 · **Fax:** (518) 793-6325
## 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:** Community Work And Independence, Inc. (NPI 1114131075, Glens Falls, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1265013312) · Data from the CMS NPPES public registry.