IndividualActive
Tara Dekamp, CPNP-PC
NPI 1740958933 · Pediatric Nurse Practitioner · Hanover, MI
Provider details
- NPI number
- 1740958933
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704304674 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
7999 Folks Rd
Hanover, MI 49241-9784
Phone: (517) 250-0800
Street-level locationGet directions
Mailing address
7999 Folks Rd
Hanover, MI 49241-9784
Additional practice locations (1)
- 601 John St Ste M-351Kalamazoo, MI 49007-5358Phone: (269) 341-8986
Registry dates
- Enumerated
- 2021-09-01
- Last updated
- 2022-06-22
- Certified
- 2022-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.