TARA SHANTI KANE PNP
NPI 1982885414
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Q: What is Tara Kane's NPI number?

The NPI number for Tara Kane is 1982885414. It was assigned to this individual provider in the NPPES registry on November 27, 2007. The provider is also known as Tara S Wunderlich Pmhnp-Bc.

Q: What is Tara Kane's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tara Kane was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 27, 2007PECOS EnrolledAccepts Medicare Assignment

1260 MORENA BLVD STE 100, SAN DIEGO, CA 92110(619) 398-0355(619) 398-0350 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 23, 2022, Mar 4, 2020, Aug 17, 2018 and 1 more (4 updates tracked since 2017).

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About Tara Shanti Kane Pnp NPPES

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

TARA SHANTI KANE PNP (NPI 1982885414) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95015265) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1982885414

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTARA SHANTI KANECredential: PNP

Location Address1260 MORENA BLVD STE 100San Diego, CA 92110-3850

Mailing Address1260 Morena Blvd Ste 100San Diego, CA 92110-3850 · (619) 398-0355 · Fax (619) 398-0350

Phone(619) 398-0355

Fax(619) 398-0350

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateNovember 27, 2007

Last NPPES UpdateFebruary 23, 20224 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2022

✔ NPI 1982885414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in CA · 95015265✔ Licensed in CO · APN.0995403-NP✔ Licensed in WA · AP60794626✔ Licensed in NY · 400990

Also ListedNurse PractitionerTaxonomy 363L00000X · License SP017314 (PA)

1260 MORENA BLVD STE 100, San Diego, CA 92110

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Other Names 1

Former Name (1)Tara S Wunderlich Pmhnp-bc

Other Identifiers 3

Medicaid911020106WA

Other00618162NY · Employer Medicaid Number

Other39062ANY · Employer Medicare Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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 Shanti Kane Pnp 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 ID3779663661

PECOS Enrollment IDI20230224001203, I20230316000103, I20230804000003, I20240201004361, I20240720000178, I20260506003541

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.

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

39 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92110 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 20

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

DAHARLIKA DEGRACIA

Case Manager/Care Coordinator