Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tamara Massengale, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1841953593

Tamara Massengale, NURSEPRACTITIONER is a Nurse Practitioner in Ithaca, New York. Qualified in 2021, 5 years ago. Practices with United Health Services Hospitals, Inc, a 472-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

334 W State St
Ithaca, NY 14850-5432
Phone: (607) 273-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F310599 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 310599 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1841953593
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedOctober 20, 2021
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026
Mailing address169 Riverside Dr, Binghamton, NY 13905-4246

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice United Health Services Hospitals, Inc. — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ithaca