Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TARA LORZING-WILMOTH FNP-BC
NPI 1639906548
Nurse Practitioner - Family in East Greenbush, NY

Active since September 16, 2024PECOS Enrolled
PO BOX 129, EAST GREENBUSH, NY 12061(518) 708-9528 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2026, Sep 16, 2024 (2 updates tracked since 2024).

About Tara Lorzing-wilmoth Fnp-bc NPPES

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

TARA LORZING-WILMOTH FNP-BC (NPI 1639906548) is an individual family provider in East Greenbush, New York, licensed in New York (354145) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1639906548
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTARA LORZING-WILMOTHCredential: FNP-BC
Location AddressPO BOX 129East Greenbush, NY 12061-0129
Mailing AddressPo Box 129East Greenbush, NY 12061-0129 · (518) 708-9528 · Fax (800) 763-5201
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 16, 2024
Last NPPES UpdateOctober 26, 20262 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ NPI 1639906548 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 · 354145
PO BOX 129, East Greenbush, NY 12061

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 Lorzing-wilmoth Fnp-bc 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.

PECOS PAC ID3274061544
PECOS Enrollment IDI20250114003205
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 Lorzing-wilmoth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 725 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 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12061 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Lorzing-wilmoth's NPI number?

The NPI number for Tara Lorzing-wilmoth is 1639906548. It was assigned to this individual provider in the NPPES registry on September 16, 2024.

Where is Tara Lorzing-wilmoth located?

Tara Lorzing-wilmoth practices at PO Box 129, East Greenbush, NY 12061. The listed phone number is (518) 708-9528.

What is Tara Lorzing-wilmoth's specialty?

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

Is Tara Lorzing-wilmoth enrolled in Medicare?

Yes. Tara Lorzing-wilmoth 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 organization bills Medicare for Tara Lorzing-wilmoth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Lorzing-wilmoth reassigns Medicare benefits to Samaritan Hospital Of Troy, New York (Troy, 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 Lorzing-wilmoth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tara Lorzing-wilmoth affiliated with any hospitals?

According to CMS data, Tara Lorzing-wilmoth is affiliated with St Peter's Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Tara Lorzing-wilmoth was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.