TARA LIDDIARD
NPI 1851999411
Nurse Practitioner - Family in Dakota Dunes, SD

Q: What is Tara Liddiard's NPI number?

The NPI number for Tara Liddiard is 1851999411. It was assigned to this individual provider in the NPPES registry on October 15, 2020.

Q: What is Tara Liddiard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tara Liddiard was last updated on October 15, 2020. 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.

Active since October 15, 2020PECOS EnrolledAccepts Medicare Assignment

455 N SIOUX POINT RD, DAKOTA DUNES, SD 57049(605) 217-7000(605) 217-7015 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tara Liddiard NPPES

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

TARA LIDDIARD (NPI 1851999411) is an individual family provider in Dakota Dunes, South Dakota, licensed in South Dakota (RN044871) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Star Valley Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1851999411

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTARA LIDDIARD

Location Address455 N SIOUX POINT RDDakota Dunes, SD 57049-5327

Mailing Address455 N Sioux Point RdDakota Dunes, SD 57049-5327 · (605) 217-7000 · Fax (605) 217-7015

Phone(605) 217-7000

Fax(605) 217-7015

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 15, 2020

NPPES CertifiedOctober 15, 2020

✔ NPI 1851999411 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 SD · RN044871

455 N SIOUX POINT RD, Dakota Dunes, SD 57049

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, UnitedHealthcare.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

Tara Liddiard 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 ID7214348903

PECOS Enrollment IDI20221212001444

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 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.

27 services25 patients

Hospital Affiliations CMS Care Compare

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

Star Valley Medical Center

Critical Access Hospitals · Afton, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531313

Location901 Adams StreetAfton, WY 83110 · Lincoln County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57049 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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 18

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

PATRICK M WALSH M.D.

Urology