MS. TARA RUSSO NP
NPI 1841450012
Nurse Practitioner - Family in New York, NY
About Ms. Tara Russo Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TARA RUSSO NP (NPI 1841450012) is an individual family provider in New York, New York, licensed in New York (334685) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Tara Russo Np 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.
Medicare Billing Reassignments
3Medicare enrollment records show Tara Russo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stamford, CT 06902
- Reassigned Medicare billing, Connecticut enrollment
Marlton, NJ 08053
- Reassigned Medicare billing, New Jersey enrollment
Nashville, TN 37210
- Reassigned Medicare billing, Florida enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10065
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 Russo's NPI number?
The NPI number for Tara Russo is 1841450012. It was assigned to this individual provider in the NPPES registry on June 11, 2008.
Where is Tara Russo located?
Tara Russo practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-6660.
What is Tara Russo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tara Russo enrolled in Medicare?
Yes. Tara Russo 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.
Which organizations bill Medicare for Tara Russo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Russo reassigns Medicare benefits to 3 organizations: Ct Preventive Health Edge Medical PC (Stamford, CT), Nj Preventive Health Edge Medical PC (Marlton, NJ) and Thyme Care Medical PLLC (Nashville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tara Russo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tara Russo accept?
Health plans from Anthem Blue Cross and Blue Shield list Tara Russo 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 Russo was last updated on June 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Ms. Tara Russo, NP · NPI 1841450012
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since June 11, 2008.
## Identity
- **NPI:** 1841450012 (Entity type: Individual)
- **Enumerated:** June 11, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 334685 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1275 YORK AVE, New York, NY 10065-6007
- **Phone:** (212) 639-6660
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Ct Preventive Health Edge Medical PC (NPI 1972394773, Stamford, CT); Nj Preventive Health Edge Medical PC (NPI 1578353835, Marlton, NJ); Thyme Care Medical PLLC (NPI 1013617315, Nashville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** June 11, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1841450012) · Data from the CMS NPPES public registry.