TARA LAINE MAINIERI NURSE PRACTITIONER
NPI 1417443433
Nurse Practitioner - Family in Kingston, NY

Q: What is Tara Mainieri's NPI number?

The NPI number for Tara Mainieri is 1417443433. It was assigned to this individual provider in the NPPES registry on July 2, 2018.

Q: What is Tara Mainieri's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Mainieri was last updated on January 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 02, 2018PECOS Enrolled

105 MARYS AVE, KINGSTON, NY 12401(845) 338-2500(845) 802-7362 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 17, 2019, Jul 2, 2018 (2 updates tracked since 2018).

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About Tara Laine Mainieri Nurse Practitioner NPPES

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

TARA LAINE MAINIERI NURSE PRACTITIONER (NPI 1417443433) is an individual family provider in Kingston, New York, licensed in New York (343244) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kingston.

NPPES Registry Identity

NPI1417443433

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTARA LAINE MAINIERICredential: NURSE PRACTITIONER

Location Address105 MARYS AVEKingston, NY 12401-5848

Mailing Address396 BroadwayKingston, NY 12401-4626 · (845) 331-3131 · Fax (845) 802-7362

Phone(845) 338-2500

Fax(845) 802-7362

Sole ProprietorNo

Enumeration DateJuly 2, 2018

Last NPPES UpdateJanuary 17, 20192 updates tracked since enumeration

✔ NPI 1417443433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in NY · 343244

105 MARYS AVE, Kingston, NY 12401

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Secondary Practice Location 1

Location 1396 BroadwayKingston, NY 12401-4626 · Phone (845) 331-3131

Other Identifiers 1

Medicaid05351693NY

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 Laine Mainieri Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 12401 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

$95.99 typical visit price

range $61.88 – $187.05

Typical copayment $23.99 (range $15.47 – $46.76)

Most-billed visit code 99203

Established Patient

$108.56 typical visit price

range $19.92 – $151.94

Typical copayment $27.14 (range $4.98 – $37.98)

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.

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