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REBECCA TARWACKI
NPI 1790355634
Nurse Practitioner - Family in South Bend, IN

Active since July 01, 2021PECOS EnrolledAccepts Medicare Assignment
621 MEMORIAL DR STE 512, SOUTH BEND, IN 46601(574) 246-9350 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebecca Tarwacki NPPES

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

REBECCA TARWACKI (NPI 1790355634) is an individual family provider in South Bend, Indiana, licensed in Indiana (71011263A) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1790355634
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREBECCA TARWACKI
Location Address621 MEMORIAL DR STE 512South Bend, IN 46601-1075
Mailing Address51153 Placid Pointe CtGranger, IN 46530-6557 · (574) 210-0551
Phone(574) 246-9350
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 1, 2021
NPPES CertifiedJuly 1, 2021
✔ NPI 1790355634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71011263A
621 MEMORIAL DR STE 512, South Bend, IN 46601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Rebecca Tarwacki 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 ID2860880713
PECOS Enrollment IDI20211026000340
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 2

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 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.
112 services94 patients
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.
108 services76 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 7

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
2 suppliers18 claims18 services$17.55 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
2 suppliers17 claims18 services$123.64 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers15 claims15 services$4.74 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
4 suppliers42 claims42 services$90.72 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
7 suppliers17 claims2,610 services$0.10 avg. paid by Medicare
Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677
DME-Drugs Administered Through DME · category DG006N
3 suppliers21 claims110,250 services$0.15 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 4

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

EMILEE TEHRANI NP-C, RN
Nurse Practitioner (Family)
621 MEMORIAL DR STE 512
SOUTH BEND, IN 46601
St. Joseph County (574) 246-9350
ERIN ELIZABETH BARTH MSN, RN, AGACNP-BC
Nurse Practitioner (Acute Care)
621 MEMORIAL DR STE 512
SOUTH BEND, IN 46601
St. Joseph County (574) 246-9350
DR. ISMAIL AL-ANI MD
Internal Medicine (Critical Care Medicine)
621 MEMORIAL DR STE 512
SOUTH BEND, IN 46601
St. Joseph County (574) 246-9350
CATHERINE ANN WALKER MSN, RN, FNP-C
Nurse Practitioner (Family)
621 MEMORIAL DR STE 512
SOUTH BEND, IN 46601
St. Joseph County (574) 246-9350

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 Rebecca Tarwacki's NPI number?

The NPI number for Rebecca Tarwacki is 1790355634. It was assigned to this individual provider in the NPPES registry on July 1, 2021.

Where is Rebecca Tarwacki located?

Rebecca Tarwacki practices at 621 Memorial Dr Ste 512, South Bend, IN 46601. The listed phone number is (574) 246-9350.

What is Rebecca Tarwacki's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rebecca Tarwacki enrolled in Medicare?

Yes. Rebecca Tarwacki 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 Rebecca Tarwacki accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Rebecca Tarwacki 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 Rebecca Tarwacki affiliated with any hospitals?

According to CMS data, Rebecca Tarwacki is affiliated with Saint Joseph Regional Medical Center, Elkhart General Hospital and Memorial Hospital Of South Bend.

When was this NPI record last updated?

The NPPES record for Rebecca Tarwacki was last updated on July 1, 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.