MS. TARA JO ELIZONDO PMHNP
NPI 1760188502
Nurse Practitioner - Psychiatric/Mental Health in Lufkin, TX

Active since February 02, 2023PECOS EnrolledAccepts Medicare Assignment
1522 W FRANK AVE, LUFKIN, TX 75904(936) 639-2384(936) 639-9888 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Tara Jo Elizondo Pmhnp NPPES

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

MS. TARA JO ELIZONDO PMHNP (NPI 1760188502) is an individual psychiatric/mental health provider in Lufkin, Texas, licensed in Texas (1107727) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1760188502
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. TARA JO ELIZONDOCredential: PMHNP
Location Address1522 W FRANK AVELufkin, TX 75904-3334
Mailing Address1522 W Frank AveLufkin, TX 75904-3334 · (936) 639-2384 · Fax (936) 639-9888
Fax(936) 639-9888
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 2, 2023
NPPES CertifiedFebruary 2, 2023
NPI 1760188502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TX · 1107727
1522 W FRANK AVE, Lufkin, TX 75904

Accepted 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

Ms. Tara Jo Elizondo Pmhnp 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 ID5395118616
PECOS Enrollment IDI20230307000547
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

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.
39 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75904 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 11

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

Counselor (Professional)
1522 W FRANK AVE
LUFKIN, TX 75904
Nurse Practitioner (Psychiatric/Mental Health)
1522 W FRANK AVE
LUFKIN, TX 75904
Counselor (Professional)
1522 W FRANK AVE
LUFKIN, TX 75904
Counselor (Professional)
1522 W FRANK AVE
LUFKIN, TX 75904
Counselor (Professional)
1522 W FRANK AVE
LUFKIN, TX 75904
Physician Assistant
1522 W FRANK AVE
LUFKIN, TX 75904
Nurse Practitioner (Psychiatric/Mental Health)
1522 W FRANK AVE
LUFKIN, TX 75904
Counselor (Professional)
1522 W FRANK AVE
LUFKIN, TX 75904

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 Elizondo's NPI number?

The NPI number for Tara Elizondo is 1760188502. It was assigned to this individual provider in the NPPES registry on February 2, 2023.

Where is Tara Elizondo located?

Tara Elizondo practices at 1522 W Frank Ave, Lufkin, TX 75904. The listed phone number is (936) 639-2384.

What is Tara Elizondo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tara Elizondo enrolled in Medicare?

Yes. Tara Elizondo 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 Elizondo accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Tara Elizondo 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.

When was this NPI record last updated?

The NPPES record for Tara Elizondo was last updated on February 2, 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.