TARA CAPALDI NP-C
NPI 1265810584
Nurse Practitioner - Adult Health in Merrillville, IN

Q: What is Tara Capaldi's NPI number?

The NPI number for Tara Capaldi is 1265810584. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Q: What is Tara Capaldi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Tara Capaldi was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since May 07, 2015PECOS EnrolledAccepts Medicare Assignment

8800 VIRGINIA PL, MERRILLVILLE, IN 46410(414) 242-5468 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2025, Jun 26, 2025, Jan 16, 2017 (3 updates tracked since 2017).

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About Tara Capaldi Np-c NPPES

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

TARA CAPALDI NP-C (NPI 1265810584) is an individual adult health provider in Merrillville, Indiana, licensed in Indiana (71005898A) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1265810584

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameTARA CAPALDICredential: NP-C

Location Address8800 VIRGINIA PLMerrillville, IN 46410-7109

Mailing Address2741 W Layton Ave Ste 106Milwaukee, WI 53221-2600

Phone(414) 242-5468

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 7, 2015

Last NPPES UpdateJuly 1, 20253 updates tracked since enumeration

NPPES CertifiedJuly 1, 2025

✔ NPI 1265810584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in IN · 71005898A✔ Licensed in MI · 4704308864

8800 VIRGINIA PL, Merrillville, IN 46410

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Secondary Practice Location 1

Location 17970 W Jefferson BlvdFort Wayne, IN 46804-4140 · Phone (414) 242-5468

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Tara Capaldi Np-c 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 ID6406166537

PECOS Enrollment IDI20151102002296

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 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

1,102 services137 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

1,096 services135 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

413 services73 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

49 services49 patients

Hospital Affiliations CMS Care Compare

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number150017

Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$22.59 avg. paid by Medicare

Standard hemi (low seat) wheelchair K0002

DME-Wheelchairs · category DD000N

1 supplier18 claims18 services$31.69 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DYCORA TRANSITIONAL HEALTH - MERRILLVILLE LLC

Skilled Nursing Facility

8800 VIRGINIA PL
MERRILLVILLE, IN 46410

Lake County (559) 977-3358

HENDRICKS COUNTY HOSPITAL

Skilled Nursing Facility

8800 VIRGINIA PL
MERRILLVILLE, IN 46410

Lake County (219) 736-1310

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 Capaldi's NPI number?

The NPI number for Tara Capaldi is 1265810584. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Where is Tara Capaldi located?

Tara Capaldi practices at 8800 Virginia Pl, Merrillville, IN 46410. The listed phone number is (414) 242-5468.

What is Tara Capaldi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Tara Capaldi enrolled in Medicare?

Yes. Tara Capaldi 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 Capaldi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Tara Capaldi 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 Capaldi affiliated with any hospitals?

According to CMS data, Tara Capaldi is affiliated with Lutheran Hospital Of Indiana.

When was this NPI record last updated?

The NPPES record for Tara Capaldi was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.