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MRS. TARA LYN WITCZAK APN-BC
NPI 1710252408
Nurse Practitioner - Adult Health in Milwaukee, WI

Active since March 14, 2012PECOS Enrolled
1555 N RIVERCENTER DR, SUITE #206, MILWAUKEE, WI 53212(414) 272-5623(414) 272-5617 Get Directions Write a Review

NPPES record last updated: March 14, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Tara Lyn Witczak Apn-bc NPPES

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

MRS. TARA LYN WITCZAK APN-BC (NPI 1710252408) is an individual adult health provider in Milwaukee, Wisconsin, licensed in Wisconsin (4766-33) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710252408
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. TARA LYN WITCZAKCredential: APN-BC
Location Address1555 N RIVERCENTER DR, SUITE #206Milwaukee, WI 53212-3981
Mailing Address1555 N Rivercenter Dr, Suite #206Milwaukee, WI 53212-3981 · (414) 272-5623 · Fax (414) 272-5617
Phone(414) 272-5623
Fax(414) 272-5617
Sole ProprietorYes
Enumeration DateMarch 14, 2012
✔ NPI 1710252408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in WI · 4766-33
1555 N RIVERCENTER DR, Milwaukee, WI 53212
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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 (PECOS)

Mrs. Tara Lyn Witczak Apn-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53212 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 2

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

MISS CATHLEEN PENNY MONICA BOWMAN FNP
Nurse Practitioner (Family)
1555 N RIVERCENTER DR
MILWAUKEE, WI 53212
Milwaukee County (414) 223-4847
INDEPENDENT CARE HEALTH PLAN
Health Maintenance Organization
1555 N RIVERCENTER DR, SUITE 202A
MILWAUKEE, WI 53212
Milwaukee County (414) 223-4847

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 Witczak's NPI number?

The NPI number for Tara Witczak is 1710252408. It was assigned to this individual provider in the NPPES registry on March 14, 2012.

Where is Tara Witczak located?

Tara Witczak practices at 1555 N Rivercenter Dr Suite #206, Milwaukee, WI 53212. The listed phone number is (414) 272-5623.

What is Tara Witczak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Tara Witczak enrolled in Medicare?

Yes. Tara Witczak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tara Witczak was last updated on March 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.