TARA L FISHBACK PA-C
NPI 1528400629
Physician Assistant in Traverse City, MI
About Tara L Fishback Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA L FISHBACK PA-C (NPI 1528400629) is an individual physician assistant in Traverse City, Michigan, licensed in Michigan (5601010328) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Grayling Hospital, and is a graduate of University Of New England, College Of Osteo Medicine (2013).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
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
Tara L Fishback Pa-c 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Munson Healthcare Grayling Hospital
Acute Care Hospitals · Grayling, MIMunson Healthcare Cadillac Hospital
Acute Care Hospitals · Cadillac, MIMunson Medical Center
Acute Care Hospitals · Traverse City, MIPaul Oliver Memorial Hospital
Critical Access Hospitals · Frankfort, MIKalkaska Memorial Health Center
Critical Access Hospitals · Kalkaska, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
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 Fishback's NPI number?
The NPI number for Tara Fishback is 1528400629. It was assigned to this individual provider in the NPPES registry on July 18, 2013. The provider is also known as Tara L Elta Pa-C.
Where is Tara Fishback located?
Tara Fishback practices at 1221 Sixth St Ste 300, Traverse City, MI 49684. The listed phone number is (231) 392-0640.
What is Tara Fishback's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Tara Fishback enrolled in Medicare?
Yes. Tara Fishback 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 Tara Fishback accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Tara Fishback 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.
Is Tara Fishback affiliated with any hospitals?
According to CMS data, Tara Fishback is affiliated with Munson Healthcare Grayling Hospital, Munson Healthcare Cadillac Hospital, Munson Medical Center, Paul Oliver Memorial Hospital and Kalkaska Memorial Health Center.
When was this NPI record last updated?
The NPPES record for Tara Fishback was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Tara L Fishback, PA-C · NPI 1528400629
Physician Assistant physician in Traverse City, Michigan. Individual provider, active in the CMS NPPES registry since July 18, 2013.
## Identity
- **NPI:** 1528400629 (Entity type: Individual)
- **Enumerated:** July 18, 2013
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 5601010328 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1221 SIXTH ST STE 300, Traverse City, MI 49684-2360
- **Phone:** (231) 392-0640 · **Fax:** (231) 392-0643
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of New England, College Of Osteo Medicine, class of 2013
## Record status
- **NPPES last updated:** July 19, 2021
- **Other identifiers:** Medicaid 832909 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1528400629) · Data from the CMS NPPES public registry.