MS. TARA L GONSALVES (NP) – Family Nurse Practitioner, NPI 1326083551
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,972 NURSE PRACTITIONER in MA
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Provider Addresses for MS. TARA L GONSALVES (NP)
39, Parsons Walk, Berkley, Bristol County, Massachusetts, 02779, United States
BERKLEY, MA 027791628
Phone: (508) 822-2979
Type: Mailing
1, Del Pond Drive, Canton, Norfolk County, Massachusetts, 02021, United States
CANTON, MA 020212759
Phone: (781) 821-3210
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: 2006-10-17
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20061017000360 | I | Nurse Practitioner | MA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 719 | 304 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 319 | 183 | $0 |
| 69210 | Removal of impacted ear wax | 99 | 84 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 55 | 51 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 39 | 39 | $0 |
Insurance plans in this area (ZIP 02779)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| Clinical Social Worker | MA | |
| Hospice/Palliative Care, Internal Medicine | MA | |
| - | MA | |
| - | MA | |
| Family Practice | MA | |
| P S Y C H I A T R Y | MA | |
| - | MA | |
| Physician Assistant | MA | |
| Hospice/Palliative Care, Geriatric Medicine | MA |
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