TARA HELM DEBARDELEBEN (NP) – Family Nurse Practitioner, NPI 1265828230

TARA HELM DEBARDELEBEN (NP) is a healthcare provider. based in Boise, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. AP7738 (AZ). The NPI Number for TARA HELM DEBARDELEBEN (NP) is 1265828230

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
TARA HELM DEBARDELEBEN (NP)
NPI
1265828230
Phone
(415) 658-6791
Address
222 N 2ND ST
Enumeration Date
7 April 2015
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8886636331
Graduation Year
2015 (11 years ago)
PAC ID
6305157900
Group Practice PAC ID
9638499247
Professional Enrollment ID
I20150624000275
Address ID
AZ850163495PH2201XRDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:11State licenses:3Digital endpointsOther names

7,509 NURSE PRACTITIONER in AZ

Provider Addresses for TARA HELM DEBARDELEBEN (NP)

  • 222 N 2ND ST

    STE 204

    BOISE, ID 837026130

    Phone: (415) 658-6791

    Type: Mailing

  • 130 SUTTER ST FL 2

    SAN FRANCISCO, CA 941044009

    Phone: (415) 658-6791

    Type: Mailing

  • 2201 E CAMELBACK RD STE 101A

    PHOENIX, AZ 850163495

    Phone: (888) 663-6331

    Fax: (415) 252-7176

    Type: Location

  • 8175 Sheridan Blvd Unit N

    Arvada, CO 800031928

    Phone: (303) 557-0855

    Fax: (415) 252-7176

    Type: Location

  • 3202 E Greenway Rd Ste 1401

    Phoenix, AZ 850324511

    Phone: (602) 325-5577

    Fax: (415) 252-7176

    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: 2024-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150624000275INurse PractitionerAZTBD
I20220308000206INurse PractitionerIDTBD
I20241218001024INurse PractitionerCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2020$0
36415Insertion of needle into vein for collection of blood sample1211$0
View full utilization report →

Insurance plans in this area (ZIP 83702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638499247View full group profile

Reviews

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Frequently asked questions

How do payers reference TARA HELM DEBARDELEBEN (NP)?
For TARA HELM DEBARDELEBEN (NP), use NPI 1265828230 as the unique 10-digit identifier.
Would TARA HELM DEBARDELEBEN (NP) appear as active to a payer?
You can treat TARA HELM DEBARDELEBEN (NP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to TARA HELM DEBARDELEBEN (NP)?
TARA HELM DEBARDELEBEN (NP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with TARA HELM DEBARDELEBEN (NP)?
Directory geography for TARA HELM DEBARDELEBEN (NP) centers on Boise, Idaho.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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