ALISA TARASOVA (FNP) – Family Nurse Practitioner, NPI 1043782634
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
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Provider Addresses for ALISA TARASOVA (FNP)
PO BOX 929
CHICKASHA, OK 730230929
Phone: (405) 896-8058
Fax: (855) 223-1999
Type: Mailing
South 29th Street, Chickasha, Grady County, Oklahoma, 73018, United States
CHICKASHA, OK 730182501
Phone: (058) 968-0584
Fax: (855) 223-1999
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: 2019-12-03
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 |
|---|---|---|---|---|
| I20191203002933 | I | Nurse Practitioner | OK | 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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 486 | 115 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 452 | 85 | $0 |
| 99497 | Advance care planning, first 30 minutes | 75 | 68 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 70 | 70 | $0 |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 69 | 41 | $0 |
Insurance plans in this area (ZIP 73023)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NJ | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | NY | |
| Nurse Practitioner | PA | |
| Hospitalist, Internal Medicine, Internal Medicine | NJ | |
| Nurse Practitioner | OK | |
| Physician Assistant | OK | |
| Nurse Practitioner | OK | |
| Family Practice | OK |
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