TARA LEIGH HERTZ AG-ACNP
NPI 1891288031
Nurse Practitioner - Acute Care in Bay Shore, NY
About Tara Leigh Hertz Ag-acnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA LEIGH HERTZ AG-ACNP (NPI 1891288031) is an individual acute care provider in Bay Shore, New York, licensed in New York (431384) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tara Leigh Hertz Ag-acnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tara Hertz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 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 11706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BAY SHORE, NY 11706
BAY SHORE, NY 11706
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 Hertz's NPI number?
The NPI number for Tara Hertz is 1891288031. It was assigned to this individual provider in the NPPES registry on June 12, 2018. The provider is also known as Tara Leigh Ilsley.
Where is Tara Hertz located?
Tara Hertz practices at 39 Brentwood Rd, Bay Shore, NY 11706. The listed phone number is (631) 591-7400.
What is Tara Hertz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Tara Hertz enrolled in Medicare?
Yes. Tara Hertz is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tara Hertz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Hertz reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The 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 Hertz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tara Hertz was last updated on August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Tara Leigh Hertz, AG-ACNP · NPI 1891288031
Acute Care physician in Bay Shore, New York. Individual provider, active in the CMS NPPES registry since June 12, 2018.
## Identity
- **NPI:** 1891288031 (Entity type: Individual)
- **Enumerated:** June 12, 2018
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 431384 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 39 BRENTWOOD RD, Bay Shore, NY 11706
- **Phone:** (631) 591-7400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 15, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1891288031) · Data from the CMS NPPES public registry.