TARA HANNAH SHOULDIS
NPI 1386435139
Nurse Practitioner - Pediatrics in Providence, RI

Q: 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.

Q: What is Tara Shouldis'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 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 12 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 13, 2025PECOS Enrolled

593 EDDY ST, PROVIDENCE, RI 02903(401) 444-4000 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2025, May 13, 2025 (2 updates tracked since 2025).

On this page

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 and is a graduate of Other (2025).

NPPES Registry Identity

NPI1386435139

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameTARA HANNAH SHOULDIS

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address110 Elm StProvidence, RI 02903-4626

Phone(401) 444-4000

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMay 13, 2025

Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration

NPPES CertifiedJuly 16, 2025

✔ NPI 1386435139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0200X

License✔ Licensed in RI · APRN04746

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 80652 (RI)

593 EDDY ST, Providence, RI 02903

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Hannah Shouldis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092215335

PECOS Enrollment IDI20250821004005

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.

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.

New Patient

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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 20

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

DR. KEITH-AUSTIN SCARFO D.O.

Anesthesiology

593 EDDY ST, APC 6
PROVIDENCE, RI 02903

Providence County (401) 444-3777

AILEEN HSUEH

Surgery

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-8450

RHODE ISLAND HOSPITAL

General Acute Care Hospital

593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903

Providence County (401) 444-7585

DR. GA HIE NAM M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-5057

EUGENIE ATALLAH

Psychiatry & Neurology (Neurology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-2645

BRIAN CAO MD

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-4286

BRET CAULFIELD

Physician Assistant

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4000

JUNG HO GONG

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 793-2695

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.

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 12 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.