TARA M MACLEAN APNP
NPI 1073234118
Nurse Practitioner in Appleton, WI
NPI Status: Active since September 07, 2022
Contact Information
3925 N GATEWAY DR
APPLETON, WI
ZIP 54913
Phone: (920) 225-1467
- Individual
- Female
- Nurse Practitioner
- Accepts Insurance
- PECOS Enrolled
About TARA MACLEAN
This page provides the complete NPI Profile along with additional information for Tara Maclean, a provider established in Appleton, Wisconsin with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1073234118 assigned on September 2022. The practitioner's primary taxonomy code is 363L00000X with license number 13125-33 (WI). The provider is registered as an individual and her NPI record was last updated June 2025.
- NPI
- 1073234118
- Provider Name
- TARA M MACLEAN APNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3925 N GATEWAY DR APPLETON, WI 54913
- Location Phone
- (920) 225-1467
- Mailing Address
- 114 KLOMPEN CT NEENAH, WI 54956
- Mailing Phone
- (920) 901-0151
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-07-2022
- Last Update Date
- 06-25-2025
- Code Navigator
A nurse practitioner (NP) like Tara Maclean is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 335 1st St
Neenah, WI 54956
(920) 573-2641
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 13125-33
- License State
- WI
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 13125-33 (WI) |
| 2 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 13125-33 (WI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Chorus Bronze Complete - EPO
- Chorus Bronze HDHP - EPO
- Chorus Catastrophic - EPO
- Chorus Core Bronze - EPO
- Chorus Core Gold - EPO
- Chorus Core Silver - EPO
- Chorus Elite Gold - EPO
- Chorus Gold - EPO
- Chorus Silver - EPO
- Chorus Silver Select - EPO
- Dean Bronze $0 Copay PCP Visits - HMO
- Dean Bronze Share - HMO
- Dean Catastrophic - HMO
- Dean Expanded Bronze Standard - HMO
- Dean Gold HSA - HMO
- Dean Gold Share - HMO
- Dean Gold Standard - HMO
- Dean Silver $0 Copay PCP Visits - HMO
- Dean Silver Share - HMO
- Dean Silver Standard - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (Rx Copay, No Referrals) - HMO
- UHC Bronze Value HSA (No Referrals) - HMO
- UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Gold Standard (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Silver Copay Focus (No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Standard+ (Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Tara Maclean is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 54913 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.41
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $23.85
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 7 | 3 | 2 | 3 | 4 | 1 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 4 | 3 | 8 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 4 + 3 + 8 + 1 + 2 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1073234118 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1154447480 | MRS. CARRIE KRISTEN BAUM R.D. Individual | Dietitian, Registered | 3925 N GATEWAY DR APPLETON, WI 54913 (920) 749-1171 |
| 1801267240 | DANA LYNN DOKE RYT 500 Individual | Health Educator | 3925 N GATEWAY DR APPLETON, WI 54913 (920) 284-1206 |
| 1316072226 | MRS. NANCY L GUDEX NP Individual | Nurse Practitioner (Family) | 3925 N GATEWAY DR APPLETON, WI 54913 (920) 749-1171 |
| 1780677906 | DR. DOUGLAS P CALVIN M.D. Individual | Radiology (Radiation Oncology) | 3925 N GATEWAY DR APPLETON, WI 54913 (920) 749-1171 |
| 1629446331 | CRYSTAL GUTTMAN APNP Individual | Nurse Practitioner (Family) | 3925 N GATEWAY DR APPLETON, WI 54913 (920) 749-1171 |
| 1194925479 | DAISY A BOEHM N.P. Individual | Nurse Practitioner (Family) | 3925 N GATEWAY DR APPLETON, WI 54913 (920) 749-1171 |
| 1821123019 | DR. JOHN D SWANSON JR. M.D. Individual | Internal Medicine (Hospice and Palliative Medicine) | 3925 N GATEWAY DR APPLETON, WI 54913 (920) 749-1171 |
| 1386789618 | DR. WILLIAM C GUENTHER JR. M.D. Individual | Internal Medicine (Hematology & Oncology) | 3925 N GATEWAY DR APPLETON, WI 54913 (920) 749-1171 |
| 1063535524 | FOX VALLEY HEMATOLOGY & ONCOLOGY, S.C. Organization | Non-Pharmacy Dispensing Site | 3925 N GATEWAY DR APPLETON, WI 54913 (920) 749-1171 |
| 1750820759 | ADAM EDWARD LUBOFF PHARMACIST Individual | Pharmacist | 3925 N GATEWAY DR SUITE 100 APPLETON, WI 54913 (920) 702-4802 |
| 1407868334 | FOX VALLEY HEMATOLOGY & ONCOLOGY, S.C. Organization | Internal Medicine (Hematology & Oncology) | 3925 N GATEWAY DR APPLETON, WI 54913 (920) 749-1171 |
| 1003352733 | FOX VALLEY HEMATOLOGY & ONCOLOGY S C Organization | Pharmacy (Community/Retail Pharmacy) | 3925 N GATEWAY DR SUITE 100 APPLETON, WI 54913 (920) 702-4802 |
| 1740675040 | DR. BRYAN KENT HENDRICKSON M.D. Individual | Family Medicine | 3925 N GATEWAY DR APPLETON, WI 54913 (920) 454-8401 |
| 1063884450 | ALEXANDER ENGEL PHYSICIAN ASSISTANT Individual | Physician Assistant | 3925 N GATEWAY DR APPLETON, WI 54913 (920) 738-4600 |
| 1689332835 | MRS. STEPHANIE ANN STOEGBAUER NURSE PRACTITIONER Individual | Nurse Practitioner (Family) | 3925 N GATEWAY DR APPLETON, WI 54913 (920) 830-6877 |
| 1386261618 | ABBEY M BUCHBERGER APNP Individual | Nurse Practitioner (Family) | 3925 N GATEWAY DR APPLETON, WI 54913 (920) 830-6877 |
| 1043748189 | KATHLEEN M ERDAHL Individual | Nurse Practitioner (Family) | 3925 N GATEWAY DR APPLETON, WI 54913 (920) 830-6877 |
| 1053944785 | KAYLA L SCHUH APNP Individual | Nurse Practitioner (Family) | 3925 N GATEWAY DR APPLETON, WI 54913 (920) 830-6877 |
| 1396464434 | CHELSEA LEIGH KOHLBECK APNP Individual | Nurse Practitioner | 3925 N GATEWAY DR APPLETON, WI 54913 (920) 427-8111 |
| 1326769498 | STACIE MOORE NP Individual | Nurse Practitioner | 3925 N GATEWAY DR APPLETON, WI 54913 (920) 830-6877 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073234118, enumerated in the NPI registry as an "individual" on September 07, 2022
The provider is located at 3925 N Gateway Dr Appleton, Wi 54913 and the phone number is (920) 225-1467
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Chorus. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $82.92 with an average copayment of $20.73 for new patient appointments. Established patients should expect a typical charge of $95.41 and an average copayment of 23.85. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 07, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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