MRS. TARA VALENZUELA (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1457985095
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,538 NURSE PRACTITIONER in CA
Provider Addresses for MRS. TARA VALENZUELA (PMHNP-BC)
7901 4TH ST N STE 300
ST PETERSBURG, FL 337024399
Phone: (843) 474-5578
Fax: (843) 790-1871
Type: Mailing
2309 NORIEGA ST STE 888
SAN FRANCISCO, CA 941224239
Phone: (843) 474-5578
Fax: (843) 790-1871
Type: Location
12710 STABLEGATE DR
BAKERSFIELD, CA 933126550
Phone:
Type: Mailing
1707 EYE ST STE 100
BAKERSFIELD, CA 933015208
Phone: (661) 310-3688
Type: Location
1707 Eye St Ste 100
Bakersfield, CA 933015208
Phone: (661) 310-3688
Type: Location
2002 N Fine Ave # 101
Fresno, CA 937271511
Phone: (559) 457-6975
Type: Location
5305 River Rd N Ste B
Keizer, OR 973035324
Phone: (843) 474-5578
Fax: (843) 790-1871
Type: Location
821 N St Ste 102
Anchorage, AK 995013285
Phone: (843) 474-5578
Fax: (843) 790-1871
Type: Location
702 Workman St
Bakersfield, CA 933076800
Phone: (559) 558-4051
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-04-16
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200416002945 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Marriage And Family Therapist | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Marriage And Family Therapist | CA | |
| Marriage And Family Therapist | CA | |
| Nurse Practitioner | NM | |
| Marriage And Family Therapist | CA | |
| Clinical Social Worker | CA | |
| Nurse Practitioner | FL |
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