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

Tara Leiting, APNP

Individual provider Nurse Practitioner · NPI 1902511702

Tara Leiting, APNP is a Nurse Practitioner in Lake Geneva, Wisconsin. Qualified in 2021, 5 years ago. Practices with Mercy Health System Corporation, a 751-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2023
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Practice location Address checks out

N2950 State Road 67
Lake Geneva, WI 53147-2655
Phone: (262) 245-7740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 13432-33 (WI)

Record details

NPI number1902511702
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedJanuary 17, 2023
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing addressN2950 State Road 67, Lake Geneva, WI 53147-2655

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 Mercy Health System Corporation — 751 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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