TARA NELSON (D.O.) – Nephrology Physician, NPI 1598053340

TARA NELSON (D.O.) is a healthcare provider. based in Berkley, Michigan. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101019303 (MI). The NPI Number for TARA NELSON (D.O.) is 1598053340

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
TARA NELSON (D.O.)
NPI
1598053340
Phone
Not provided
Address
1160 CATALPA DR APT 208
Enumeration Date
14 July 2011
Last Update Date
6 April 2022

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5862281010
Graduation Year
2011 (15 years ago)
PAC ID
9133445398
Group Practice PAC ID
2961468723
Professional Enrollment ID
I20150305000918
Address ID
MI480386332CL15520RDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

434 NEPHROLOGY in MI

Provider Addresses for TARA NELSON (D.O.)

  • 1160 CATALPA DR APT 208

    BERKLEY, MI 480722044

    Phone:

    Type: Mailing

  • 15520 19 MILE RD STE 480

    CLINTON TOWNSHIP, MI 480386332

    Phone: (586) 228-1010

    Fax: (586) 228-8570

    Type: Mailing

  • 1000 HARRINGTON ST

    MOUNT CLEMENS, MI 480432920

    Phone: (586) 493-8195

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $336.

Total Amount is formed as General ($336) + Research ($0) + Ownership ($0) = $336.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($104).

Total Amount

$336

General + Research + Ownership

Payments

12

Total payment records

General Amount

$336

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

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: 2015-03-05

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
I20150305000918INephrologyMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes730195$0
99214Established patient office or other outpatient visit, 30-39 minutes275145$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes149129$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)12723$0
36415Insertion of needle into vein for collection of blood sample12282$0
View full utilization report →

Insurance plans in this area (ZIP 48072)

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Provider's Procedures

TARA NELSON (D.O.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYMI90935Hemodialysis procedure with one physician evaluation13158

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: 2961468723View full group profile
NameSpecialtyState
-MI
Nephrology, Internal MedicineMI
Internal MedicineMI
Internal MedicineMI
Internal MedicineMI
Internal MedicineMI
Hospitalist, Internal MedicineMI
-MI
Nephrology, Internal MedicineSC

Reviews

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Frequently asked questions

Is TARA NELSON (D.O.) listed with a National Provider Identifier?
Yes — TARA NELSON (D.O.) has NPI 1598053340 on file in the registry.
Is there an active status for TARA NELSON (D.O.)?
For scheduling context, TARA NELSON (D.O.) is shown as active in the registry.
What kind of doctor is TARA NELSON (D.O.)?
TARA NELSON (D.O.) is associated with Nephrology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with TARA NELSON (D.O.)?
Directory geography for TARA NELSON (D.O.) centers on Berkley, Michigan.
Does TARA NELSON (D.O.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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