TARA HANNAH SHOULDIS
NPI 1386435139
Nurse Practitioner - Pediatrics in Providence, RI
About Tara Hannah Shouldis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA HANNAH SHOULDIS (NPI 1386435139) is an individual pediatrics provider in Providence, Rhode Island, licensed in Rhode Island (APRN04746) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tara Hannah Shouldis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Tara Shouldis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Providence, RI 02903
- Reassigned Medicare billing, Rhode Island enrollment
- 201 clinicians in this Medicare group
Providence, RI 02903
- Reassigned Medicare billing, Rhode Island enrollment
- 1,372 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02903 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.
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
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 Shouldis's NPI number?
The NPI number for Tara Shouldis is 1386435139. It was assigned to this individual provider in the NPPES registry on May 13, 2025.
Where is Tara Shouldis located?
Tara Shouldis practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4000.
What is Tara Shouldis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Tara Shouldis enrolled in Medicare?
Yes. Tara Shouldis is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tara Shouldis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Shouldis reassigns Medicare benefits to 2 organizations: Brown Emergency Medicine (Providence, RI) and Lifespan Physician Group, Inc. (Providence, RI). Each 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 Shouldis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tara Shouldis was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Tara Hannah Shouldis · NPI 1386435139
Pediatrics physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since May 13, 2025.
## Identity
- **NPI:** 1386435139 (Entity type: Individual)
- **Enumerated:** May 13, 2025
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** APRN04746 (Rhode Island)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 593 EDDY ST, Providence, RI 02903-4923
- **Phone:** (401) 444-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Brown Emergency Medicine (NPI 1962455022, Providence, RI); Lifespan Physician Group, Inc. (NPI 1407116643, Providence, RI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1386435139) · Data from the CMS NPPES public registry.