TARA NICOLE CARLESCO PA-C
NPI 1679059505
Physician Assistant - Medical in Wallingford, CT
About Tara Nicole Carlesco Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA NICOLE CARLESCO PA-C (NPI 1679059505) is an individual medical provider in Wallingford, Connecticut, licensed in Connecticut (4160) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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 Nicole Carlesco 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carlesco's NPI number?
The NPI number for Tara Carlesco is 1679059505. It was assigned to this individual provider in the NPPES registry on July 13, 2018.
Where is Tara Carlesco located?
Tara Carlesco practices at 821 N Main Street Ext Ste 210, Wallingford, CT 06492. The listed phone number is (203) 294-3610.
What is Tara Carlesco's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Tara Carlesco enrolled in Medicare?
Yes. Tara Carlesco 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.
When was this NPI record last updated?
The NPPES record for Tara Carlesco was last updated on July 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 Nicole Carlesco, PA-C · NPI 1679059505
Medical physician in Wallingford, Connecticut. Individual provider, active in the CMS NPPES registry since July 13, 2018.
## Identity
- **NPI:** 1679059505 (Entity type: Individual)
- **Enumerated:** July 13, 2018
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 4160 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 821 N MAIN STREET EXT STE 210, Wallingford, CT 06492-2464
- **Phone:** (203) 294-3610
## 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:** Other, class of 2018
## Record status
- **NPPES last updated:** July 13, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1679059505) · Data from the CMS NPPES public registry.