TANISHA KERIEL TART PMHNP
NPI 1407606486
Nurse Practitioner - Psychiatric/Mental Health in Shallotte, NC

Active since March 25, 2024PECOS EnrolledAccepts Medicare Assignment
120 COASTAL HORIZONS DR, SHALLOTTE, NC 28470(910) 754-4515 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2024, Apr 1, 2024 (2 updates tracked since 2024).

About Tanisha Keriel Tart Pmhnp NPPES

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

TANISHA KERIEL TART PMHNP (NPI 1407606486) is an individual psychiatric/mental health provider in Shallotte, North Carolina, licensed in South Carolina (27936) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1407606486
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTANISHA KERIEL TARTCredential: PMHNP
Location Address120 COASTAL HORIZONS DRShallotte, NC 28470-6094
Mailing Address615 Shipyard BlvdWilmington, NC 28412-6431
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 25, 2024
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
NPI 1407606486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in SC · 27936
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5019957 (NC)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5019957 (NC)
120 COASTAL HORIZONS DR, Shallotte, NC 28470

Secondary Practice Locations 5

Location 15702 N Highway 501Marion, SC 29571-6098 · Phone (843) 615-5990
Location 2110 Premiere PlzWhiteville, NC 28472-2522 · Phone (910) 524-8183
Location 36 Doctors Cir Ste 1Supply, NC 28462-6358 · Phone (910) 754-4233
Location 4615 Shipyard BlvdWilmington, NC 28412-6431 · Phone (910) 343-0145 · Fax (910) 341-5779
Location 57910 US Hwy 117 SRocky Point, NC 28457-9431 · Phone (910) 259-0668

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

Tanisha Keriel Tart Pmhnp 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 ID2668915695
PECOS Enrollment IDI20240619000846
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 28470 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Counselor
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Counselor
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Community/Behavioral Health
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Social Worker (Clinical)
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Social Worker (Clinical)
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Social Worker (Clinical)
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Social Worker (Clinical)
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470
Counselor (Addiction (Substance Use Disorder))
120 COASTAL HORIZONS DR
SHALLOTTE, NC 28470

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 Tanisha Tart's NPI number?

The NPI number for Tanisha Tart is 1407606486. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Tanisha Tart located?

Tanisha Tart practices at 120 Coastal Horizons Dr, Shallotte, NC 28470. The listed phone number is (910) 754-4515.

What is Tanisha Tart's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tanisha Tart enrolled in Medicare?

Yes. Tanisha Tart 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 Tanisha Tart accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Tanisha Tart 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 Tanisha Tart was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.