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

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: October 18, 2026.

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

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, maintains 4 additional practice locations, 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
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

Other Names 1

Former Name (1)Tara S Wunderlich Pmhnp-bc

Secondary Practice Locations 4

Location 12501 N 3rd StHarrisburg, PA 17110-1904 · Phone (717) 782-4734 · Fax (717) 782-4727
Location 25455 Almira Dr NEBremerton, WA 98311-8331 · Phone (360) 415-5870 · Fax (360) 478-0951
Location 3899 Hwy 287 Ste 300Broomfield, CO 80020-7319 · Phone (303) 443-8500
Location 47440 W Marginal Way SSeattle, WA 98108-4141 · Phone (206) 768-1990

Other Identifiers 3

Medicaid911020106WA
Other00618162NY · Employer Medicaid Number
Other39062ANY · Employer Medicare Number

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

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, I20230608003537, 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.

Medicare Billing Reassignments

8

Medicare enrollment records show Tara Kane reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
507 14TH ST
Dallas Center, IA 50063
  • Reassigned Medicare billing, Iowa enrollment
  • 518 clinicians in this Medicare group
Psychiatry
1501 42ND ST STE 575
West Des Moines, IA 50266
  • Reassigned Medicare billing, Arkansas, Iowa, Illinois, Massachusetts, Missouri, North Dakota, Washington and Wisconsin enrollments
  • 6 clinicians in this Medicare group
Medicare Defined Swing Bed Unit
711 W ADAMS ST
Black River Falls, WI 54615
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1811940331 (Wisconsin)
  • 227 clinicians in this Medicare group
Family Medicine
1507 DOCTORS CT
Watertown, WI 53094
  • Reassigned Medicare billing, Wisconsin enrollment
  • 215 clinicians in this Medicare group
Counselor
1019 E WATER ST
Elmira, NY 14901
  • Reassigned Medicare billing, New York enrollment
  • 38 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
29 NORTH HAMILTON STREET
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 94 clinicians in this Medicare group
Psychiatry
1 HEALTHY WAY
Oceanside, NY 11572
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group
Family Medicine
25 MARSTON ST STE 301
Lawrence, MA 01841
  • Reassigned Medicare billing, Massachusetts enrollment
  • 305 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.

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.

Case Manager/Care Coordinator
1260 MORENA BLVD STE 100
SAN DIEGO, CA 92110
Nurse Practitioner (Psychiatric/Mental Health)
1260 MORENA BLVD STE 100
SAN DIEGO, CA 92110
Registered Nurse (Psychiatric/Mental Health, Adult)
1260 MORENA BLVD STE 100
SAN DIEGO, CA 92110
Counselor (Mental Health)
1260 MORENA BLVD STE 100
SAN DIEGO, CA 92110
Day Training/Habilitation Specialist
1260 MORENA BLVD STE 100
SAN DIEGO, CA 92110
Registered Nurse
1260 MORENA BLVD STE 100
SAN DIEGO, CA 92110
Counselor (Mental Health)
1260 MORENA BLVD STE 100
SAN DIEGO, CA 92110
Case Manager/Care Coordinator
1260 MORENA BLVD STE 100
SAN DIEGO, CA 92110

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 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.

Where is Tara Kane located?

Tara Kane practices at 1260 Morena Blvd Ste 100, San Diego, CA 92110. The listed phone number is (619) 398-0355.

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.

Is Tara Kane enrolled in Medicare?

Yes. Tara Kane 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 Kane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Kane reassigns Medicare benefits to 8 organizations: Broadlawns Medical Center (Dallas Center, IA), Evizzit Of Iowa Psychiatry PC (West Des Moines, IA), Black River Health Inc (Black River Falls, WI), Watertown Physician Practices LLC (Watertown, WI), Family Services Of Chemung County, Inc. (Elmira, NY) and 3 more organizations, listed in the Medicare section above. 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 Kane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tara Kane accept?

Health plans from CareSource (Common Ground Healthcare), Dean Health Plan, Harvard Pilgrim Health Care, Oscar Insurance Company and UnitedHealthcare and 1 other insurer list Tara Kane 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 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.