Tara Hyneman
NPI 1518857440ActiveIndividual· Nurse Practitioner, Family· Gouverneur, NY
Nurse Practitioner, Family with Canton-Potsdam Hospital, practicing in Gouverneur, New York. Enrolled in Medicare as practitioner - nurse practitioner. Lists Canton-Potsdam Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1518857440 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 3, 2025 |
| Last updated in NPPES | Jul 3, 2025 |
| Certified by provider | Jul 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 357031 | NY |
| Nurse Practitioner, Obstetrics & Gynecology | 363LX0001X | 357031 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NY) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Canton-Potsdam HospitalPotsdam, NY · 252 clinicians
Hospital affiliations
- Canton-Potsdam HospitalPotsdam, NY
- Gouverneur HospitalGouverneur, NY
- Rochester General HospitalRochester, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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