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SIERRA TANGO PA-C
NPI 1659076586
Physician Assistant in Princeton, NJ

Active since March 31, 2023PECOS EnrolledAccepts Medicare Assignment
325 PRINCETON AVE, PRINCETON, NJ 08540(813) 160-9924 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2023, Mar 31, 2023 (2 updates tracked since 2023).

About Sierra Tango Pa-c NPPES

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

SIERRA TANGO PA-C (NPI 1659076586) is an individual physician assistant in Princeton, New Jersey, licensed in New Jersey (25MP00793700) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1659076586
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSIERRA TANGOCredential: PA-C
Location Address325 PRINCETON AVEPrinceton, NJ 08540-1617
Mailing Address325 Princeton AvePrinceton, NJ 08540-1617
Phone(813) 160-9924
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 31, 2023
Last NPPES UpdateJuly 6, 20232 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
✔ NPI 1659076586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NJ · 25MP00793700
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.
325 PRINCETON AVE, Princeton, NJ 08540
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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 and accepts Medicare assignment

Sierra Tango 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.

PECOS PAC ID4284095035
PECOS Enrollment IDI20230726004172
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.

Areas of Expertise CMS Part B claims 3

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
58 services58 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
37 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08540 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

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.

DAVID J. LAMB M.D.
Orthopaedic Surgery
325 PRINCETON AVE
PRINCETON, NJ 08540
Mercer County (609) 924-8131
KARTIK SHENOY M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
325 PRINCETON AVE
PRINCETON, NJ 08540
Mercer County (609) 924-8131
JONATHAN DOUGLAS HASKEL MD
Orthopaedic Surgery
325 PRINCETON AVE
PRINCETON, NJ 08540
Mercer County (609) 924-8131
MARCELLE S. ZEBUHR PA-C
Physician Assistant
325 PRINCETON AVE
PRINCETON, NJ 08540
Mercer County (609) 924-8131
ALEXANDRA GAUDIO PA-C
Physician Assistant
325 PRINCETON AVE
PRINCETON, NJ 08540
Mercer County (609) 924-8131
KELLEY A BUTLER O.T.
Occupational Therapist
325 PRINCETON AVE
PRINCETON, NJ 08540
Mercer County (609) 924-8131
DR. JENNIFER M LEVI DPM
Podiatrist
325 PRINCETON AVE
PRINCETON, NJ 08540
Mercer County (609) 924-8131
MARTIN EAMON GRIFFIS MD
Orthopaedic Surgery (Hand Surgery)
325 PRINCETON AVE
PRINCETON, NJ 08540
Mercer County (609) 924-8131

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 Sierra Tango's NPI number?

The NPI number for Sierra Tango is 1659076586. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Sierra Tango located?

Sierra Tango practices at 325 Princeton Ave, Princeton, NJ 08540. The listed phone number is (813) 160-9924.

What is Sierra Tango's specialty?

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

Is Sierra Tango enrolled in Medicare?

Yes. Sierra Tango 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.

Is Sierra Tango affiliated with any hospitals?

According to CMS data, Sierra Tango is affiliated with University Medical Center Of Princeton At Plainsboro.

When was this NPI record last updated?

The NPPES record for Sierra Tango was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.