JUDY ANN TABER-TANIS FNP, BC
NPI 1487905360
Nurse Practitioner - Family in Fremont, MI

Q: What is Judy Taber-tanis's NPI number?

The NPI number for Judy Taber-tanis is 1487905360. It was assigned to this individual provider in the NPPES registry on October 2, 2012.

Q: What is Judy Taber-tanis'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 Judy Taber-tanis was last updated on March 1, 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.

Active since October 02, 2012PECOS Enrolled

204 W MAIN ST, FREMONT, MI 49412(231) 924-1800 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2022, Mar 3, 2021 (2 updates tracked since 2021).

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About Judy Ann Taber-tanis Fnp, Bc NPPES

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

JUDY ANN TABER-TANIS FNP, BC (NPI 1487905360) is an individual family provider in Fremont, Michigan, licensed in Michigan (4704197858) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487905360

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJUDY ANN TABER-TANISCredential: FNP, BC

Location Address204 W MAIN STFremont, MI 49412-1181

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(231) 924-1800

Sole ProprietorNo

Enumeration DateOctober 2, 2012

Last NPPES UpdateMarch 1, 20242 updates tracked since enumeration

NPPES CertifiedMarch 1, 2024

✔ NPI 1487905360 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 MI · 4704197858

204 W MAIN ST, Fremont, MI 49412

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judy Ann Taber-tanis Fnp, Bc 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 49412 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers12 claims12 services$64.75 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

3 suppliers12 claims12 services$31.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

DANIEL LEE PIERCE PA-C

Physician Assistant