Tara Wyley
NPI 1073320602 · Physician Assistant · Lakeville, MN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tara Wyley is a Physician Assistant provider in Lakeville, MN (NPI 1073320602).
Provider details
- NPI number
- 1073320602
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-12-17
- Last updated
- 2025-03-21
- Certified
- 2025-03-21
Frequently asked questions
- What is Tara Wyley's NPI number?
- Tara Wyley's National Provider Identifier (NPI) is 1073320602, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tara Wyley's specialty?
- Tara Wyley is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tara Wyley located?
- Tara Wyley's practice location on file with NPPES is 17489 Dodd Blvd, Lakeville, MN 55044-6506.
- What is Tara Wyley's phone number?
- The practice phone number listed in the NPPES registry for Tara Wyley is (952) 428-1020.
- Does Tara Wyley accept Medicare?
- Tara Wyley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tara Wyley's NPI active?
- Yes — Tara Wyley's NPI (1073320602) is active in the NPPES registry as of the last update on 2025-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.