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

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: October 18, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Tara Mainieri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Westchester Medical Center Advanced Physician Services PC
58 mi
Anesthesiology
100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 1,663 clinicians in this Medicare group
NPI 1740687458 (914) 493-2844

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

MANPREET GREWAL M.D
Psychiatry & Neurology (Psychiatry)
105 MARYS AVE
KINGSTON, NY 12401
Ulster County (734) 756-5066
MAQBOOL CHEEMA MD
Pathology (Anatomic Pathology)
105 MARYS AVE
KINGSTON, NY 12401
Ulster County (845) 334-4929
DR. MATIULLAH ABDUL JABBAR MD
Hospitalist
105 MARYS AVE
KINGSTON, NY 12401
Ulster County (845) 338-2500
DR. CRAIG S. MCCOY M.D.
Anesthesiology
105 MARYS AVE
KINGSTON, NY 12401
Ulster County (845) 338-2500
GI SUK SONG MD
Radiology (Diagnostic Radiology)
105 MARYS AVE
KINGSTON, NY 12401
Ulster County (845) 338-2500
DR. MILES ALEXANDER SOYER DPM
Podiatrist (Foot & Ankle Surgery)
105 MARYS AVE
KINGSTON, NY 12401
Ulster County (845) 338-2500
WALTER SOHA MD
Emergency Medicine
105 MARYS AVE
KINGSTON, NY 12401
Ulster County (330) 493-4443
HARNEET SETHI MD
Emergency Medicine
105 MARYS AVE
KINGSTON, NY 12401
Ulster County (330) 493-4443

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 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.

Where is Tara Mainieri located?

Tara Mainieri practices at 105 Marys Ave, Kingston, NY 12401. The listed phone number is (845) 338-2500.

What is Tara Mainieri's specialty?

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

Is Tara Mainieri enrolled in Medicare?

Yes. Tara Mainieri is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tara Mainieri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Mainieri reassigns Medicare benefits to Westchester Medical Center Advanced Physician Services PC (Valhalla, NY). The 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 Mainieri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tara Mainieri was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.