Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Tara Marie Disalle, PA-C

Individual provider Emergency Medicine Physician · NPI 1396269312

MS. Tara Marie Disalle, PA-C is a Physician Assistant in Henderson, Nevada. Qualified in 2017, 9 years ago. Practices with MD Now Medical Centers Inc, a 316-clinician group and accepts Medicare assignment. Licensed in Nevada and Ohio.

Years since qualifying
9
Licensed in
NV, OH
In the registry since
2017
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1691 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89012-3520
Phone: (702) 804-1212
Fax: (702) 804-1222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2405 (NV)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 50.005132RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence 50.005132RX (OH)

Record details

NPI number1396269312
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 1, 2017
Last updated in NPPESApril 12, 2021
Certification dateApril 12, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Md Now Medical Centers Inc — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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