TARA LYNN MANN
NPI 1639510837
Nurse Practitioner - Adult Health in Riverhead, NY
About Tara Lynn Mann NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA LYNN MANN (NPI 1639510837) is an individual adult health provider in Riverhead, New York, licensed in New York (307973) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and maintains a secondary practice location in Valley Stream.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tara Lynn Mann 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.
Medicare Billing Reassignments
4Medicare enrollment records show Tara Mann reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Port Jefferson Station, NY 11776
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1306631742 (New York)
- 68 clinicians in this Medicare group
Smithtown, NY 11787
- Reassigned Medicare billing, New York enrollment
- 6 clinicians in this Medicare group
Smithtown, NY 11787
- Reassigned Medicare billing, New York enrollment
- 11 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
John T Mather Memorial Hospital Of Port Jefferson
Acute Care Hospitals · Port Jefferson, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11901 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERHEAD, NY 11901
RIVERHEAD, NY 11901
RIVERHEAD, NY 11901
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 Mann's NPI number?
The NPI number for Tara Mann is 1639510837. It was assigned to this individual provider in the NPPES registry on July 16, 2013.
Where is Tara Mann located?
Tara Mann practices at 1279 E Main St, Riverhead, NY 11901. The listed phone number is (631) 727-2100.
What is Tara Mann's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Tara Mann enrolled in Medicare?
Yes. Tara Mann 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.
Which organizations bill Medicare for Tara Mann's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Mann reassigns Medicare benefits to 4 organizations: Harbor View Medical Services PC (Port Jefferson Station, NY), Middle Country Endocrinology, PC (Smithtown, NY), Millennium Medical Professionals, PLLC (Smithtown, NY) and New York University (Boynton Beach, FL). Each 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 Mann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tara Mann affiliated with any hospitals?
According to CMS data, Tara Mann is affiliated with John T Mather Memorial Hospital Of Port Jefferson.
When was this NPI record last updated?
The NPPES record for Tara Mann was last updated on February 23, 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 Lynn Mann · NPI 1639510837
Adult Health physician in Riverhead, New York. Individual provider, active in the CMS NPPES registry since July 16, 2013.
## Identity
- **NPI:** 1639510837 (Entity type: Individual)
- **Enumerated:** July 16, 2013
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 307973 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1279 E MAIN ST, Riverhead, NY 11901-2583
- **Phone:** (631) 727-2100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Harbor View Medical Services PC (NPI 1871150193, Port Jefferson Station, NY); Middle Country Endocrinology, PC (NPI 1295068930, Smithtown, NY); Millennium Medical Professionals, PLLC (NPI 1114364510, Smithtown, NY); New York University (NPI 1285826438, Boynton Beach, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** February 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1639510837) · Data from the CMS NPPES public registry.