TESSA MAE HART
NPI 1356208516
Nurse Practitioner - Pediatrics in Meridian, ID

Q: What is Tessa Hart's NPI number?

The NPI number for Tessa Hart is 1356208516. It was assigned to this individual provider in the NPPES registry on January 8, 2026.

Q: What is Tessa Hart's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Tessa Hart was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 08, 2026PECOS Enrolled

2939 W EXCURSION LN, MERIDIAN, ID 83642(208) 385-7711(208) 385-0346 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2026, Apr 29, 2026, Jan 8, 2026 (3 updates tracked since 2026).

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About Tessa Mae Hart NPPES

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

TESSA MAE HART (NPI 1356208516) is an individual pediatrics provider in Meridian, Idaho, licensed in Idaho (4881819) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2025).

NPPES Registry Identity

NPI1356208516

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameTESSA MAE HART

Location Address2939 W EXCURSION LNMeridian, ID 83642-5308

Mailing Address2939 W Excursion LnMeridian, ID 83642-5308 · (208) 385-7711 · Fax (208) 385-0346

Phone(208) 385-7711

Fax(208) 385-0346

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2025

Enumeration DateJanuary 8, 2026

Last NPPES UpdateAugust 3, 20263 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1356208516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in ID · 4881819

2939 W EXCURSION LN, Meridian, ID 83642

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tessa Mae Hart is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698245454

PECOS Enrollment IDI20260521004541

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.

Medicare Billing Reassignment

Medicare enrollment records show Tessa Hart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shine Pediatrics, PLLC

394 mi

Pediatrics

1600 116TH AVE NE STE 304
Bellevue, WA 98004

Reassigned Medicare billing, Washington enrollment
4 clinicians in this Medicare group

NPI 1821851239 (225) 715-5242

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 12

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

DR. GAVIN GUARD DMS, PA-C, MPAS

Physician Assistant (Medical)