TARA WELLINGTON
NPI 1407428071
Nurse Practitioner - Psychiatric/Mental Health in Syracuse, NY
About Tara Wellington NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA WELLINGTON (NPI 1407428071) is an individual psychiatric/mental health provider in Syracuse, New York, licensed in New York (403567) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tara Wellington 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.
Medicare Billing Reassignments
3Medicare enrollment records show Tara Wellington reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13215
- Reassigned Medicare billing, New York enrollment
- 232 clinicians in this Medicare group
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 171 clinicians in this Medicare group
Syracuse, NY 13203
- Reassigned Medicare billing, New York enrollment
- 369 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Hospital S U N Y Health Science Center
Acute Care Hospitals · Syracuse, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13215 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.
SYRACUSE, NY 13215
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 Wellington's NPI number?
The NPI number for Tara Wellington is 1407428071. It was assigned to this individual provider in the NPPES registry on July 13, 2021.
Where is Tara Wellington located?
Tara Wellington practices at 4900 Broad Rd, Syracuse, NY 13215. The listed phone number is (315) 492-5713.
What is Tara Wellington's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Tara Wellington enrolled in Medicare?
Yes. Tara Wellington 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.
Which organizations bill Medicare for Tara Wellington's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Wellington reassigns Medicare benefits to 3 organizations: Upstate Community Medical, PC (Syracuse, NY), Psychiatry Faculty Practice, Inc. (Syracuse, NY) and St Josephs Hospital Health Center (Syracuse, NY). 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 Wellington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tara Wellington affiliated with any hospitals?
According to CMS data, Tara Wellington is affiliated with University Hospital S U N Y Health Science Center.
When was this NPI record last updated?
The NPPES record for Tara Wellington was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 Wellington · NPI 1407428071
Psychiatric/Mental Health physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since July 13, 2021.
## Identity
- **NPI:** 1407428071 (Entity type: Individual)
- **Enumerated:** July 13, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 403567 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 4900 BROAD RD, Syracuse, NY 13215-2265
- **Phone:** (315) 492-5713
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Upstate Community Medical, PC (NPI 1689620163, Syracuse, NY); Psychiatry Faculty Practice, Inc. (NPI 1881084820, Syracuse, NY); St Josephs Hospital Health Center (NPI 1508815333, Syracuse, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1407428071) · Data from the CMS NPPES public registry.