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TARA LEA ENGLAND
NPI 1679055529
Nurse Practitioner in Lenoir, NC

Active since September 06, 2018PECOS EnrolledAccepts Medicare Assignment
401 MULBERRY ST SW STE 207, LENOIR, NC 28645(828) 757-6462 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2021, Sep 6, 2018 (2 updates tracked since 2018).

About Tara Lea England NPPES

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

TARA LEA ENGLAND (NPI 1679055529) is an individual nurse practitioner in Lenoir, North Carolina, licensed in North Carolina (5010943) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Rutherford Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679055529
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTARA LEA ENGLAND
Location Address401 MULBERRY ST SW STE 207Lenoir, NC 28645-5463
Mailing Address401 Mulberry St Sw Ste 210Lenoir, NC 28645-5463 · (828) 757-6431 · Fax (828) 757-6432
Phone(828) 757-6462
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 6, 2018
Last NPPES UpdateMarch 17, 20212 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
✔ NPI 1679055529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5010943
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
401 MULBERRY ST SW STE 207, Lenoir, NC 28645
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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 Lea England 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 ID9830443431
PECOS Enrollment IDI20181119000703
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
253 services187 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
154 services77 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.
37 services35 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
36 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
28 services20 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Rutherford Regional Medical Center

Acute Care Hospitals · Rutherfordton, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340013
Location288 South Ridgecrest AveRutherfordton, NC 28139 · Rutherford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28645 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier18 claims18 services$17.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier18 claims18 services$91.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CALDWELL MEMORIAL HOSPITAL, INC
Internal Medicine (Cardiovascular Disease)
401 MULBERRY ST SW STE 207
LENOIR, NC 28645
Caldwell County (828) 757-6462
DR. TRACY DENISE ANDREWS DNP, ACNP
Nurse Practitioner (Acute Care)
401 MULBERRY ST SW STE 207
LENOIR, NC 28645
Caldwell County (828) 757-6462
JENYUNG ANDY CHIU MD
Internal Medicine (Interventional Cardiology)
401 MULBERRY ST SW STE 207
LENOIR, NC 28645
Caldwell County (828) 757-6462

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 England's NPI number?

The NPI number for Tara England is 1679055529. It was assigned to this individual provider in the NPPES registry on September 6, 2018.

Where is Tara England located?

Tara England practices at 401 Mulberry St SW Ste 207, Lenoir, NC 28645. The listed phone number is (828) 757-6462.

What is Tara England's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tara England enrolled in Medicare?

Yes. Tara England 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 England accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Tara England 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 England affiliated with any hospitals?

According to CMS data, Tara England is affiliated with Rutherford Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tara England was last updated on March 17, 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.