TANYA SOBASKI (NP) – Nurse Practitioner, NPI 1205322534

TANYA SOBASKI (NP) is a healthcare provider. based in Watervliet, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704220788 (MI). The NPI Number for TANYA SOBASKI (NP) is 1205322534

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
TANYA SOBASKI (NP)
NPI
1205322534
Phone
(269) 463-3600
Address
400 Medical Park Dr
Enumeration Date
10 July 2018
Last Update Date
16 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2694656050
Graduation Year
2017 (9 years ago)
PAC ID
3870841885
Group Practice PAC ID
1658427042
Professional Enrollment ID
I20180808001250
Address ID
MI491069559BR9625XHWYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for TANYA SOBASKI (NP)

  • 400 Medical Park Dr

    Watervliet, MI 490989225

    Phone: (269) 463-3600

    Type: Location

  • Southwestern Medical Clinic, 9625, Red Arrow Highway, Livingston, Bridgman, Lake Charter Township, Berrien County, Michigan, 49106, United States

    BRIDGMAN, MI 491069559

    Phone: (269) 465-6050

    Fax: (269) 465-3134

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-06-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$16
View all Open Payments →|Open Payments Risk Radar →

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: 2018-08-08

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180808001250INurse PractitionerMITBD

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 minutes244217$0
99203New patient office or other outpatient visit, 30-44 minutes9595$0
99214Established patient office or other outpatient visit, 30-39 minutes8988$0
81002Urinalysis, manual test5249$0
71046X-ray of chest, 2 views4040$0
View full utilization report →

Insurance plans in this area (ZIP 49098)

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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: 1658427042View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
-MI
Physician AssistantMI
-MI
Physician AssistantMI
Internal MedicineMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

What is the standard ID for TANYA SOBASKI (NP) in the U.S.?
In the U.S., TANYA SOBASKI (NP) is identified by NPI 1205322534.
Quick check: is TANYA SOBASKI (NP) active?
Public NPPES data shows TANYA SOBASKI (NP) with an active NPI status right now.
What does the directory say TANYA SOBASKI (NP) does?
Insurance directories may phrase it differently, but here TANYA SOBASKI (NP) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TANYA SOBASKI (NP)?
TANYA SOBASKI (NP) is associated with Watervliet, Michigan in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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