MS. TARA MARIE DISALLE PA-C
NPI 1396269312
Physician Assistant in Henderson, NV

Active since August 01, 2017PECOS EnrolledAccepts Medicare Assignment
1691 W HORIZON RIDGE PKWY, SUITE 100, HENDERSON, NV 89012(702) 804-1212(702) 804-1222 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 12, 2021, Sep 13, 2017, Aug 1, 2017 (3 updates tracked since 2017).

About Ms. Tara Marie Disalle Pa-c NPPES

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

MS. TARA MARIE DISALLE PA-C (NPI 1396269312) is an individual physician assistant in Henderson, Nevada, licensed in Nevada (PA2405) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1396269312
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. TARA MARIE DISALLECredential: PA-C
Location Address1691 W HORIZON RIDGE PKWY, SUITE 100Henderson, NV 89012-3520
Mailing Address1691 W Horizon Ridge Pkwy, Suite 100Henderson, NV 89012-3520 · (702) 804-1212 · Fax (702) 804-1222
Fax(702) 804-1222
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 1, 2017
Last NPPES UpdateApril 12, 20213 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
NPI 1396269312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NV · PA2405 Licensed in OH · 50.005132RX
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 50.005132RX (OH)
1691 W HORIZON RIDGE PKWY, Henderson, NV 89012

Other Names 1

Former Name (1)Tara Marie O'toole Pa-c

Accepted 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

Ms. Tara Marie Disalle Pa-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 ID2062786346
PECOS Enrollment IDI20240117001947
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
28 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
20 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89012 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
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 2

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

Psychiatry & Neurology (Neurology)
1691 W HORIZON RIDGE PKWY, #100
HENDERSON, NV 89012
Nurse Practitioner (Family)
1691 W HORIZON RIDGE PKWY, SUITE 100
HENDERSON, NV 89012

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 Disalle's NPI number?

The NPI number for Tara Disalle is 1396269312. It was assigned to this individual provider in the NPPES registry on August 1, 2017. The provider is also known as Tara Marie O'toole Pa-C.

Where is Tara Disalle located?

Tara Disalle practices at 1691 W Horizon Ridge Pkwy Suite 100, Henderson, NV 89012. The listed phone number is (702) 804-1212.

What is Tara Disalle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tara Disalle enrolled in Medicare?

Yes. Tara Disalle 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 Disalle accept?

Health plans from Ambetter Health, Ambetter of Alabama and AvMed list Tara Disalle 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.

When was this NPI record last updated?

The NPPES record for Tara Disalle was last updated on April 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.