TARA HEINSELMAN – Certified Registered Nurse Anesthetist, NPI 1790407187

TARA HEINSELMAN is a healthcare provider. based in River falls, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 52912-30 (WI). The NPI Number for TARA HEINSELMAN is 1790407187

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
TARA HEINSELMAN
NPI
1790407187
Phone
(715) 222-7063
Address
3176 NEWCASTLE DR
Enumeration Date
13 September 2022
Last Update Date
19 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6122734097
Graduation Year
2022 (4 years ago)
PAC ID
1557730207
Group Practice PAC ID
7315986064
Professional Enrollment ID
I20230801004456
Address ID
MN554541450MI2450XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:3State licenses:4Digital endpointsOther names

1,144 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI

Provider Addresses for TARA HEINSELMAN

  • 3176 NEWCASTLE DR

    RIVER FALLS, WI 540224421

    Phone: (715) 222-7063

    Type: Mailing

  • 600 HIGHLAND AVE

    MADISON, WI 537920001

    Phone: (608) 263-6400

    Type: Location

  • 4972 PRAIRIE SPRING CT

    WAUNAKEE, WI 535978967

    Phone:

    Type: Mailing

  • 2450 RIVERSIDE AVE

    MINNEAPOLIS, MN 554541450

    Phone: (612) 365-1000

    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: 2023-08-01

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
I20230801004456ICertified Registered Nurse Anesthetist (Crna)MNTBD

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
00104Anesthesia for electroshock therapy2015$0
View full utilization report →

Insurance plans in this area (ZIP 54022)

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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: 7315986064View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YIA
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN

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Frequently asked questions

What identifier follows TARA HEINSELMAN across health systems?
The NPI 1790407187 uniquely identifies TARA HEINSELMAN in U.S. healthcare data.
Does the public listing show TARA HEINSELMAN as active?
TARA HEINSELMAN's NPI record reflects an active status in NPPES.
Which specialty label fits TARA HEINSELMAN?
NPPES ties TARA HEINSELMAN to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit TARA HEINSELMAN in River Falls, Wisconsin?
For routing, start with River Falls, Wisconsin for TARA HEINSELMAN, then verify phone and hours locally.
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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