TARA MICHELE NELSON PA
NPI 1528052750
Physician Assistant in Whiteman Air Force Base, MO

Q: What is Tara Nelson's NPI number?

The NPI number for Tara Nelson is 1528052750. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Q: What is Tara Nelson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Nelson was last updated on December 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 02, 2005PECOS Enrolled

331 SIJEN AVE, WHITEMAN AIR FORCE BASE, MO 65305(660) 687-2188(660) 687-2106 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tara Michele Nelson Pa NPPES

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

TARA MICHELE NELSON PA (NPI 1528052750) is an individual physician assistant in Whiteman Air Force Base, Missouri, licensed in Missouri (PYA113653) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528052750

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTARA MICHELE NELSONCredential: PA

Location Address331 SIJEN AVEWhiteman Air Force Base, MO 65305-1269

Mailing Address331 Sijen AveWhiteman Afb, MO 65305-1269 · (660) 687-2188 · Fax (660) 687-4414

Phone(660) 687-2188

Fax(660) 687-2106

Sole ProprietorYes

Enumeration DateSeptember 2, 2005

Last NPPES UpdateDecember 11, 2024

NPPES CertifiedDecember 11, 2024

✔ NPI 1528052750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MO · PYA113653✔ Licensed in KS · 15-00527

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

331 SIJEN AVE, Whiteman Air Force Base, MO 65305

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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)

Tara Michele Nelson Pa 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 65305 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

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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